title: [The Martius flap in the treatment of vesicovaginal fistulas. Report of 20 cases].
abstract: The authors report a series of 20 cases of vesicovaginal fistula (VVF) treated according to the Martius procedure. The mean age of the patients was 30 years (range: 20 to 37 years). All fistulas were secondary to obstetric trauma. The mean diameter of the fistula orifice was 4 cm. Fourteen fistulas were cervico-trigonal and 6 were urethro-cervico-trigonal. A rectovaginal fistula was associated with VVF in 2 patients. Five of the 20 patients had never been previously operated, while 15 patients had already been operated without success. Fifteen patients were cured immediately, while a second Martius procedure was necessary in 3 cases. Failure was considered to be definitive in 2 cases.
authors.affiliation: Clinique Urologique A, CHU Ibn Sina, Rabat, Maroc.
authors.forename: A
authors.initials: A
authors.lastname: Benchekroun
authors.forename: A
authors.initials: A
authors.lastname: Lachkar
authors.forename: M
authors.initials: M
authors.lastname: Alami
authors.forename: A
authors.initials: A
authors.lastname: Soumana
authors.forename: M H
authors.initials: MH
authors.lastname: Farih
authors.forename: Z
authors.initials: Z
authors.lastname: Belahnech
authors.forename: M
authors.initials: M
authors.lastname: Marzouk
authors.forename: M
authors.initials: M
authors.lastname: Faik
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications; D011247:Pregnancy; D013524:Surgical Flaps; D016896:Treatment Outcome; D014719:Vesicovaginal Fistula / Q000473:pathology / Q000601:surgery*