{
    "abstract": "To assess the indications, morbidity, efficacy and outcomes of Martius fat pad (MFP) interposition in reconstructive female urology.\nData 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.\nThe 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\u00a0%) rated the post-operative appearance of their labia as good or excellent. Only 1 patient (0.6\u00a0%) felt the post-operative appearance was unsatisfactory. There were 2 post-harvest labial haematoma (1.25\u00a0%), 1 labial wound infection in an overweight diabetic patient (0.6\u00a0%) and no other significant short- or long-term complications.\nMFP interposition is associated with good cosmesis and a very low complication rate (<2\u00a0%). It appears to lower new onset post-procedure USUI, prevent erosion in the 'fragile' urethra and improve outcomes following repair of post-surgery VVF/UVF. MFP is a versatile and effective tool in the female urologists' armamentarium.",
    "authors": [
        {
            "affiliation": "Department of Urology, University College Hospital, London, NW1 2PG, UK. sachmalde@gmail.com.",
            "firstname": "Sachin",
            "initials": "S",
            "lastname": "Malde"
        },
        {
            "affiliation": "Department of Urology, University College Hospital, London, NW1 2PG, UK.",
            "firstname": "Marco",
            "initials": "M",
            "lastname": "Spilotros"
        },
        {
            "affiliation": "Department of Urology, University College Hospital, London, NW1 2PG, UK.",
            "firstname": "Ailsa",
            "initials": "A",
            "lastname": "Wilson"
        },
        {
            "affiliation": "Department of Urology, University College Hospital, London, NW1 2PG, UK.",
            "firstname": "Mahreen",
            "initials": "M",
            "lastname": "Pakzad"
        },
        {
            "affiliation": "Department of Urology, University College Hospital, London, NW1 2PG, UK.",
            "firstname": "Rizwan",
            "initials": "R",
            "lastname": "Hamid"
        },
        {
            "affiliation": "Department of Urology, University College Hospital, London, NW1 2PG, UK.",
            "firstname": "Jeremy",
            "initials": "J",
            "lastname": "Ockrim"
        },
        {
            "affiliation": "Department of Urology, University College Hospital, London, NW1 2PG, UK.",
            "firstname": "P Julian",
            "initials": "PJ",
            "lastname": "Shah"
        },
        {
            "affiliation": "Department of Urology, University College Hospital, London, NW1 2PG, UK.",
            "firstname": "Tamsin",
            "initials": "T",
            "lastname": "Greenwell"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.1007/s00345-016-1887-2",
    "journal": "World journal of urology",
    "keywords": [
        "Diverticulum",
        "Fistula",
        "Incontinence",
        "Martius fat pad"
    ],
    "methods": null,
    "publication_date": "2016-07-09",
    "pubmed_id": "27388009\n19191783\n10734338\n2683322\n10989900\n21459417\n25140241\n21789657\n18355904\n2314794\n19622973\n665751\n23248521\n7420550\n6540812\n24139352\n7359641\n16530766\n16150356\n859201\n15598284\n16173042\n12738152\n22998912\n11956448",
    "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\u00a0%) rated the post-operative appearance of their labia as good or excellent. Only 1 patient (0.6\u00a0%) felt the post-operative appearance was unsatisfactory. There were 2 post-harvest labial haematoma (1.25\u00a0%), 1 labial wound infection in an overweight diabetic patient (0.6\u00a0%) and no other significant short- or long-term complications.",
    "title": "The uses and outcomes of the Martius fat pad in female urology.",
    "xml": "<Element 'PubmedArticle' at 0x788506b13380>"
}