Any Benefit of Martius Flap in Repair of Female Urethral Diverticulum

Mai Ahmed Banakhar

Abstract: Female urethral diverticulum is not common urethral pathology. The commonest presentation is post voiding drippling. Its surgical repair done vaginally. In our study we compare cases which repaired with or without the use of martius flap regarding their post operative outcome. Methods: we reviewed all done cases over 5 years and classify them into group one with martius flap and group 2 without any flap. We reviewed patient post operative outcome. Results: total of 34 patients with mean age of 37 only 15 females had martius flap there was no significant difference between both groups regarding recurrence rate, vaginal tightness and urine incontinence post repair. Conclusion: Use of martius flap in urethral diverticulum repair doesn?t add any additional repair benefit. We recommend to be used only in large diverticular repair.

Keywords: urethral Diverticulum, female urethra, Martius flap, urethral diverticulum repair