Closure of a neobladder-vaginal fistu in a patient with studer's type neobladder using a transvagina approach with interposition of a martius' flap

Juan E. Bestard Vallejo, Anna Orsola Los De Santos, Carles X. Raventós Busquets, Jacques Planas Marin, Juan Morote Robles

Research output: Contribution to journalArticleResearchpeer-review

3 Citations (Scopus)

Abstract

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.
Original languageEnglish
Pages (from-to)56-59
JournalArchivos Espanoles de Urologia
Volume62
Issue number1
Publication statusPublished - 1 Jan 2009

Keywords

  • Fistula
  • Martius flap
  • Neobladder
  • Vagina

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