[Closure of a neobladder-vaginal fistula in a patient with Studer's type neobladder using a transvaginal approach with interposition of a Martius' flap].
OBJECTIVE
We report a case of neobladder-vaginal fistula in a patient, and its closure using a Martius flap interposition.


METHODS
A 51-year-old patient required cystectomy and Studer's neobladder for invasive bladder adenocarcinoma. After urethral catheter removal she presented constant leakage and was diagnosed by cystoscopy of neobladder-vaginal fistula.


RESULTS
This complication was successfully treated using a vaginal approach with closure in two layers and interposition of a Martius flap.


CONCLUSIONS
Neobladder is a rare indication in women, as it is the eventuality of presenting this type of fistula. The adequate approach to treat it is still controversial. In our experience and after reviewing literature we think vaginal closure using a Martius flap interposition is a good technique to treat a neobladder-vaginal fistula.
Bestard Vallejo
Juan E
JE
Servicio de Urología, Hospital Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, España. 38625jbv@comb.es
Orsola de los Santos
Anna
A
Raventós Busquets
Carles X
CX
Planas Morin
Jacques
J
Morote Robles
Juan
J
D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D013524:Surgical Flaps; D016476:Urinary Reservoirs, Continent; D013520:Urologic Surgical Procedures / Q000379:methods; D014621:Vagina; D014624:Vaginal Fistula / Q000601:surgery*