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[Two cases of urethrovaginal fistula repaired by Martius labial-rotation flap]

Tomonori Minagawa, Haruaki Kato, Hiroo Inoue, Takashi Nagai, Tomohiko Oguchi, Shinya Kobayashi, Osamu Nishizawa
Hinyokika Kiyo. Acta Urologica Japonica 2007, 53 (7): 481-3
Urethrovaginal fistulas are rare. In case 1, a 48-year-old woman had undergone transvaginal drainage for an paraurethral abscess. In case 2, a 33-year-old woman had undergone resection of vaginal varicocele with massive bleeding during pregnancy. Postoperatively both patients complained of total incontinence. Urethroscopy and urethrography revealed an urethrovaginal fistula in each case. Repair ofurethrovaginal fistula using Martius labial-rotation flap was performed and the fistula was closed in both cases. We concluded that repair of urethrovaginal fistula using Martius labial-rotation flap may be useful for patients with urethrovaginal fistula.


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