title: Colpocleisis in vesico-vaginal radiation fistula.
abstract: OBJECTIVE
  To assess Latzko's colpocleisis with bilateral Martius flap as a solution for vesico vaginal fistula secondary to radiotherapy.
  
  
  METHODS
  65 year old woman with past medical history of cervix adenocarcinoma treated with hysterectomy, pelvic radiotherapy and brachytherapy. She  also had terminal colostomy for recto-vaginal fistula. She complained of a 2-year history of continuous urinary escape through vagina. On  cistoscopy, the ureteral orifices were close to the loss of substance. Colpocleisis following Latzko's technique was performed.
  
  
  RESULTS
  Complete resection of the fistulous tract and tension free closure is a surgical challenge not always achieved, and with a high recurrence rate.  Latzko's colpocleisis is a simple and safe option in patients that have previously undergone a hysterectomy. Bilateral Martius flap increases vascular  support of the affected tissues, which is of pivotal importance in patients subjected to radiotherapy.
  
  
  CONCLUSIONS
  Latzko's colpocleisis is a valid therapeutic option in those histerectomised patients with vesico vaginal fistulas due to radiotherapy who  are not eligible for fistulorraphy.
authors.affiliation: Urology Departmet, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain. beadiazcasanova@hotmail.com
authors.forename: Beatriz
authors.initials: B
authors.lastname: Díaz-Casanova
authors.forename: David
authors.initials: D
authors.lastname: Kim
authors.forename: Francisco
authors.initials: F
authors.lastname: Ramírez
authors.forename: Reinaldo
authors.initials: R
authors.lastname: Marrero
authors.forename: Rafael
authors.initials: R
authors.lastname: Martell
authors.forename: Manuel
authors.initials: M
authors.lastname: Rapariz
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy; D005260:Female; D006801:Humans; D011832:Radiation Injuries / Q000150:complications / Q000601:surgery*; D013537:Sutures; D013519:Urogenital Surgical Procedures / Q000379:methods; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy; D014621:Vagina / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000209:etiology / Q000601:surgery*