title: Proximal vaginal flap and needle suspension procedure in management of large urethral fistulas in females.
abstract: We present a surgical technique for the management of large urethral fistulas associated with urinary incontinence in the female. The repair consists of the development of a well-vascularized proximal vaginal flap and a needle suspension procedure. Two females underwent such repair and are incontinence-free with normal micturition.
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D011182:Postoperative Care; D013524:Surgical Flaps; D014522:Urethral Diseases / Q000150:complications / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery; D014548:Urinary Fistula / Q000150:complications / Q000601:surgery*; D014549:Urinary Incontinence / Q000209:etiology; D014621:Vagina / Q000098:blood supply / Q000601:surgery