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International Urogynecology Journal

, Volume 27, Issue 12, pp 1925–1927 | Cite as

Transvaginal repair of a urethrovaginal fistula using the Latzko technique with a bulbocavernosus (Martius) flap

  • Ariel ZilberlichtEmail author
  • Yuval Lavy
  • Ron Auslender
  • Yoram Abramov
IUJ Video

Abstract

Introduction and hypothesis

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.

Keywords

Latzko technique Bulbocavernosus (Martius) flap Urethrovaginal fistula 

Notes

Compliance with ethical standards

Financial disclaimer/conflicts of interest

None.

Consent

Written informed consent was obtained from the patient for publication of this video article and any accompanying images.

Supplementary material

ESM 1

(MP4 92284 kb)

References

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Copyright information

© The International Urogynecological Association 2016

Authors and Affiliations

  • Ariel Zilberlicht
    • 1
    Email author
  • Yuval Lavy
    • 2
  • Ron Auslender
    • 1
  • Yoram Abramov
    • 1
  1. 1.Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Carmel Medical Center, Rappaport Faculty of MedicineTechnion UniversityHaifaIsrael
  2. 2.Department of Obstetrics and GynecologyHadassah Hebrew University Medical CenterJerusalemIsrael

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