What is Martius flap?
The Martius flap procedure is a surgical procedure used to treat obstetric fistulas in women. Heinrich Martius developed the procedure in twentieth century Germany to treat women with urinary incontinence caused by stress, and later doctors used it to repair obstetric fistulas.
How do you close a rectovaginal fistula?
Most people with rectovaginal fistulas need surgery to close the opening. Your healthcare provider may use your tissue or lab-made tissue to repair a rectovaginal fistula. As many as 9 in 10 people recover completely after surgery. If the opening is large, you may need a temporary colostomy.
What are high rectovaginal fistula?
A high fistula is between the middle third of the rectum and the posterior vaginal fornix. Small-sized fistulas are less than 0.5 cm in diameter, medium-sized fistulas are 0.5–2.5 cms, and large-sized fistulas exceed 2.5 cms.
What is Vesicovaginal and rectovaginal fistula?
A vaginal fistula that opens into the urinary tract is called a vesicovaginal fistula. A vaginal fistula that opens into the rectum is called a rectovaginal fistula. A vaginal fistula that opens into the colon is called a colovaginal fistula.
How do you make a Martius flap?
The Martius flap procedure is performed in a few steps, in one setting. A small incision is made under the urethra, and then the urethra is freed by way of urethrolysis. Next, a vertical incision is made along one of the labia majora.
What causes a urethral diverticulum?
What causes a urethral diverticulum? Urethral diverticula are thought to be congenital (present at birth) or acquired. Vaginal birth and trauma have been thought to contribute to the formation of a urethral diverticulum, where the urethral muscoa (inner layer) herniates through the muscular layers.
How is a vaginal fistula found?
Diagnosis and Tests Complete blood counts and urinalysis to look for infections. Dye test, inserting dye in your rectum and checking for signs of leakage from your vagina. Fistulogram X-ray to determine the number and size of fistulas. Urogram using CT scans to view your vagina and urinary tract.
What is flap splitting method?
The flap-splitting technique involves wide mobilization of the vaginal mucosa from the edge of the fistula. The bladder is closed in two layers. The first is submucosal with interrupted Lembert sutures. A second layer is used to close the muscularis and reduce tension on the first suture line.
What is a urethral fistula?
Urethrocutaneous fistula is an unwanted opening in the groin area where urine may leak out. The condition can be congenital (present at birth) or it can develop from an infection, injury, or as a complication of surgery.
What is a urinary fistula?
A urinary fistula is an abnormal opening either within a urinary tract organ (such as the bladder) or an abnormal connection between a urinary tract organ and another organ (such as the colon).
What does a bladder fistula feel like?
Bladder fistula symptoms vary by type and severity of the fistula. They may include any of the following: Abdominal pain. Dysuria (painful urination)