Management of Radiation-Induced Vesicovaginal Fistula

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Management of Radiation-Induced Vesicovaginal Fistula Dmitri Y. Pushkar, Vladimir V. Dyakov, Gevorg R. Kasyan European Urology Volume 55, Issue 1, Pages 131-138 (January 2009) DOI: 10.1016/j.eururo.2008.04.044 Copyright © 2008 European Association of Urology Terms and Conditions

Fig. 1 (a) Martius flap technique: A longitudinal incision is made on labia majora pudenda. (b) Martius flap technique: Vascularized labial fatty flap is mobilized. (c) Martius flap technique: The flap is tunneled under the vaginal wall from labia to vaginal incision. (d) Martius flap technique: The vaginal wall is closed over the flap. European Urology 2009 55, 131-138DOI: (10.1016/j.eururo.2008.04.044) Copyright © 2008 European Association of Urology Terms and Conditions

Fig. 2 (a) Latzko procedure: Excision of the vaginal epithelium around the fistula is made. (b) Latzko procedure: Sutures pass through anterior and posterior vaginal walls. (c) Latzko procedure: Fistula is closed by upper colpocleisis. European Urology 2009 55, 131-138DOI: (10.1016/j.eururo.2008.04.044) Copyright © 2008 European Association of Urology Terms and Conditions