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Management of Radiation-Induced Vesicovaginal Fistula

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Presentation on theme: "Management of Radiation-Induced Vesicovaginal Fistula"— Presentation transcript:

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

2 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  , DOI: ( /j.eururo ) Copyright © 2008 European Association of Urology Terms and Conditions

3 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  , DOI: ( /j.eururo ) Copyright © 2008 European Association of Urology Terms and Conditions


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