What does this research mean for the field?

Vaginal repair utilizing a Martius flap effectively restores urinary continence and improves quality of life in patients with chronic post-hysterectomy vesicovaginal fistulas. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This case report aims to demonstrate the effectiveness of the Martius flap technique in repairing a chronic vesicovaginal fistula.

June 6, 2026Open Access

Vaginal Repair of Post-hysterectomy Vesicovaginal Fistula With a Martius Flap: A Case Report

Key Points

This case report aims to demonstrate the effectiveness of the Martius flap technique in repairing a chronic vesicovaginal fistula.
Patient diagnosed with VVF confirmed via physical exam, methylene blue test, and cystoscopy.
Underwent vaginal repair using the Martius flap procedure.
Follow-up assessment focused on urinary continence and quality of life improvements.
The Martius flap procedure restored urinary continence to the patient.
Significant improvements in the patient's quality of life were observed post-surgery.

Abstract

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.

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