June 22, 2026 · Journal of minimally invasive gynecology · DOI: 10.1016/j.jmig.2026.06.017

Management of Urethrovaginal Fistula and Stress Urinary Incontinence Using a Martius Flap and Laparoscopic Artificial Urinary Sphincter Implantation

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The authors aim to address the management of a 69-year-old woman with an iatrogenic urethrovaginal fistula and subsequent stress urinary incontinence due to intrinsic sphincter deficiency. They detail the diagnostic and surgical interventions, including the repair of the fistula using a Martius flap and the implantation of a laparoscopic artificial urinary sphincter to restore urinary function.

Maria Dolores Sanchez Gallego, Alba Rubia Escribano, David Carracedo Calvo, Jose Manuel De La Morena

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