The uses and outcomes of the Martius fat pad in female urology

Purpose To assess the indications, morbidity, efficacy and outcomes of Martius fat pad (MFP) interposition in reconstructive female urology. Materials and methods Data on 159 women with MFP interposition as part of their primary procedure between 2 September 2005 and 2 July 2015 were prospectively c...

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Published in:World journal of urology 2017-03, Vol.35 (3), p.473-478
Main Authors: Malde, Sachin, Spilotros, Marco, Wilson, Ailsa, Pakzad, Mahreen, Hamid, Rizwan, Ockrim, Jeremy, Shah, P. Julian, Greenwell, Tamsin
Format: Article
Language:English
Subjects:
Adipose Tissue - transplantation
Adult
Aged
Diverticulum - surgery
Female
Follow-Up Studies
Gynecologic Surgical Procedures - methods
Humans
Medicine
Medicine & Public Health
Middle Aged
Nephrology
Oncology
Original Article
Patient Satisfaction
Reconstructive Surgical Procedures - methods
Retrospective Studies
Surgical Flaps
Urethral Diseases - surgery
Urinary Incontinence, Stress - surgery
Urologic Surgical Procedures - methods
Urology
Vesicovaginal Fistula - surgery
Vulva
Young Adult
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Summary:Purpose To assess the indications, morbidity, efficacy and outcomes of Martius fat pad (MFP) interposition in reconstructive female urology. Materials and methods Data on 159 women with MFP interposition as part of their primary procedure between 2 September 2005 and 2 July 2015 were prospectively collected. Patient demographics and the indications for MFP interposition along with the outcomes of their primary procedures and short- and long-term complications related to the MFP, along with patient reported perception of post-operative appearance, were noted. Results The main indications for MFP interposition were urethral diverticulum excision (74), vaginal repair of vesicovaginal fistula (VVF) (43), removal and repair of urethral erosion of mid-urethral tape (MUT) (24), female urethroplasty for stricture (12), vaginal closure of bladder neck for complex end-stage stress urinary incontinence (USUI) (4) and as a MUT wrap for protection of urethra and vagina in women with fragile urethras (2). The majority of patients (127 or 79 %) rated the post-operative appearance of their labia as good or excellent. Only 1 patient (0.6 %) felt the post-operative appearance was unsatisfactory. There were 2 post-harvest labial haematoma (1.25 %), 1 labial wound infection in an overweight diabetic patient (0.6 %) and no other significant short- or long-term complications. Conclusions MFP interposition is associated with good cosmesis and a very low complication rate (
ISSN:0724-4983
1433-8726
DOI:10.1007/s00345-016-1887-2