USE OF RECTUS ABDOMINIS MUSCLE FLAP FOR THE TREATMENT OF COMPLEX AND REFRACTORY URETHROVAGINAL FISTULAS

Abstract

The rectus abdominis muscle flap is a useful adjunct in the repair of complex and refractory urethrovaginal fistulas. It can be used with confidence to provide support to the bladder neck and proximal urethra in patients after failed prior repair with the Martius flap procedure. The pelvic surgeon may be able to recognize other applications for the rectus abdominis muscle flap in pelvic floor reconstruction.