Use of the martius labial fat pad as an adjunct in the management of urinary fistulae and urethral obstruction following antiincontinence procedures
Conclusion: Transvaginal surgery involving a Martius rotational flap should be considered in reconstructive surgery for complications after urogynecologic surgery. Results: One patient developed a postoperative cellulitis. Two patients reported decreased sensation to the right labia, which did not interfere with sexual activity. All fistulae were successfully closed. All patients with urethral obstruction accomplished efficient voiding, but two patients (29%) continued with urgency and urge incontinence. Materials and Methods: Twelve patients underwent a unilateral Martius labial fat pad rotational flap procedure. Four women had a urethral fistula and seven women had urethral obstruction after a retropubic urethropexy procedure. Martius labial flap was used as interposition tissue. Study Design: A retrospective study examining the outcome of patients undergoing Martius rotational flap introduction. Specific outcomes included intraoperative and postoperative morbidity, cosmetic appearance, and success in resolving the urethra-bladder complication. Objective: Our goal was to review the role of interposition tissue as adjunct therapy in the treatment of complications involving the urethra and bladder. © 2000 Lippincott Williams & Wilkins, Inc.
