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The Martius flap neovagina revisited
  1. A. E. GREEN*,
  2. P. F. ESCOBAR,
  4. C. M. MICHENER and
  1. *Department of Reproductive Biology, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio
  2. †Gynecologic Oncology Program, Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio
  1. Address correspondence and reprint requests to: Vivian E. von Gruenigen, MD, Division of Gynecologic Oncology, University MacDonald Women's Hospital, 11100 Euclid Avenue, Room 7128, Cleveland, OH 44106, USA. Email: vivian.vongruenigen{at}


The Martius bulbocavernosus flap has been used frequently in the repair of various vaginal fistulas. It can also be a useful source for the construction of a neovagina if used in the appropriate patient. We present a case of a patient who underwent a total pelvic exenteration for recurrent cervical cancer. For her neovagina, a novel variation of the Martius flap was constructed. In carefully selected patients, this can be a useful option for neovagina reconstruction.

  • bulbocavernosus flap
  • Martius flap
  • neovagina

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