The Martius flap in the treatment of vesicovaginal fistulas. Based on a series of 20 cases.

The authors report a series of 20 cases of vesicovaginal fistula (VVF) trea ted according to the Martius procedure. The mean age of the patients was 30 years (range: 20 to 37 years). All fistulas were secondary to obstetric tr auma. The mean diameter of the fistula orifice was 4 cm. Fourteen fistulas were cervico-trigonal and 6 were urethro-cervico-trigonal. A rectovaginal f istula was associated with VVF in 2 patients. Five of the 20 patients had n ever been previously operated, while 15 patients had already been operated without success. Fifteen patients were cured immediately, while a second Ma rtius procedure was necessary in 3 cases. Failure was considered to be defi nitive in 2 cases.