Repair of a recurrent urethrovaginal fistula with an island bulbocavernous musculocutaneous flap

Plast Reconstr Surg. 1993 Dec;92(7):1393-6.


This paper describes a case of recurrent postpartum urethrovaginal fistula. The extent of the vaginal tissue loss and the perilesional scarring made direct closure of the defect not practicable. After suturing of the urethra, the anterior vaginal wall was reconstructed with an island bulbocavernous musculocutaneous flap raised from the left labium majus. Seven months after surgery, the flap healed well, and cystography showed a regular voiding without periurethral suffusions. Healing of thedonor site also was aesthetically satisfactory.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Puerperal Disorders / complications
  • Puerperal Disorders / surgery*
  • Recurrence
  • Surgical Flaps / methods*
  • Urethral Diseases / complications
  • Urethral Diseases / surgery*
  • Urinary Fistula / complications
  • Urinary Fistula / surgery*
  • Vaginal Fistula / complications
  • Vaginal Fistula / surgery*