[Treatment of vesicovaginal fistulas using the musculofascial flap of the levator ani muscle: 26 case reports].
OBJECTIVE
The authors reported the preliminary results of levator ani muscle flap in the treatment of vesicovaginal fistula.


METHODS
Twenty-six patients whose age varied between 13 and 18 years (mean: 30 years) are selected. All the patients are treated by the vaginal approach using the part of superficial rectal fibers of the levator ani muscle.


RESULTS
Among the 26 patients, 14 are free after the first cure of vesicovaginal fistula (54%), and 4 patients (15%), after the treatment of some complications.


CONCLUSIONS
The musculofascial levator ani flap with its vascular pedicle and its mobilisation can successfully close the vesicovaginal fistula. The preliminary results obtained (88%) tie up with that previously described in the literature.
Yao
B
B
Service de chirurgie-urologie, CHU de Treichville, 04 BP 265, Abidjan 04, Côte d'Ivoire. byaofr@yahoo.fr
Gnagne
M
M
Sery
F
F
Dossou
C
C
Gnanazan
G
G
D000293:Adolescent; D000328:Adult; D001003:Anal Canal / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation*; D013524:Surgical Flaps; D016896:Treatment Outcome; D001747:Urinary Bladder Fistula / Q000473:pathology / Q000601:surgery*; D014624:Vaginal Fistula / Q000473:pathology / Q000601:surgery*