HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by BARNETT, R. M. Search for Related Content PubMed PubMed Citation Articles by BARNETT, R. M.

The Bilateral Martius Pedicle Graft

From the Department of Obstetrics and Gynecology, South Baltimore General Hospital, 3001 South Hanover St, Baltimore, Md 21230.

The Martius procedure, designed years ago as an adjunctant to successful fistula closure, involves producing a pedicle graft of bulbocavernosus muscle and fat from under the labia majora. Brought through a subcutaneous tunnel across the vaginal repair site, it provides new vascularity as well as bulky support and minimizes the potential risk of fistula formation. When performed bilaterally, its original function remains the same, but it also provides the gynecologist with the ability to sucessfully manage the vexing problem of previous surgical failure to correct stress urinary incontinence. The major benefit of this procedure is to produce suburethral support in an area of previous surgery with a minimal risk of fistula formation.