A vesicovaginal fistula (VVF) is a devastating condition often resulting from gynecological surgery. We present the case of a chronic VVF treated via a vaginal approach with a Martius flap. A 38-year-old woman presented with three years of urinary incontinence following a total abdominal hysterectomy. Diagnosis of a VVF was confirmed by physical exam, methylene blue test, and cystoscopy. The patient underwent vaginal repair with a Martius flap. The Martius flap procedure restored urinary continence and improved the patient's quality of life. This case highlights the importance and surgical steps of the Martius flap for the repair of VVF.
Silva et al. (Wed,) studied this question.