title: Transvaginal repair of a urethrovaginal fistula using the Latzko technique with a bulbocavernosus (Martius) flap.
abstract: OBJECTIVE
  Urethrovaginal fistula is a rare disorder that may occur following sling procedures for stress urinary incontinence, excision of a urethral diverticulum, anterior vaginal wall repair, radiation therapy, and prolonged indwelling urethral catheter. The most common clinical manifestation is continuous urinary leakage through the vagina, aggravated by an increase in the intra-abdominal pressure. Appropriate management, including timing of the surgical intervention and the preferred technique, remains controversial.
  
  
  METHODS
  This video presentation describes the transvaginal repair of a urethrovaginal fistula using the Latzko technique and a bulbocavernosus (Martius) flap.
  
  
  RESULTS
  The patient's postoperative course was uneventful. At her follow-up visit 2 months later, she was free of urinary leakage, and a pelvic examination revealed excellent healing, with complete closure of the fistula.
  
  
  CONCLUSIONS
  Transvaginal repair using the Latzko technique with a vascular bulbocavernosus (Martius) flap is an effective and safe mode of treatment.
authors.affiliation: Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Carmel Medical Center, Rappaport Faculty of Medicine, Technion University, 7 Michal Street, Haifa, Israel, 31048. arielzilberlicht@gmail.com.
authors.forename: Ariel
authors.initials: A
authors.lastname: Zilberlicht
authors.affiliation: Department of Obstetrics and Gynecology, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
authors.forename: Yuval
authors.initials: Y
authors.lastname: Lavy
authors.affiliation: Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Carmel Medical Center, Rappaport Faculty of Medicine, Technion University, 7 Michal Street, Haifa, Israel, 31048.
authors.forename: Ron
authors.initials: R
authors.lastname: Auslender
authors.affiliation: Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Carmel Medical Center, Rappaport Faculty of Medicine, Technion University, 7 Michal Street, Haifa, Israel, 31048.
authors.forename: Yoram
authors.initials: Y
authors.lastname: Abramov
mesh_terms: D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D013524:Surgical Flaps; D014522:Urethral Diseases / Q000601:surgery*; D014624:Vaginal Fistula / Q000601:surgery*
keywords: Bulbocavernosus (Martius) flap; Latzko technique; Urethrovaginal fistula