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Recordings

Concurrent Session 12: Imaging and Office Practice

Transvaginal Bladder Neck Closure with Martius Flap

Friday, October 25, 2024
3:18 PM – 3:28 PM EDT
Location: Independence Ballroom A-D (Meeting Level 4)
Live Streamed
Objectives: Transvaginal bladder neck closure is a definitive surgical option for a devastated urethra in patients with significant urethra erosion, but few pelvic reconstruction surgeons have exposure to this procedure. The aim of this video is to demonstrate operative techniques and outline important anatomic landmarks for transvaginal bladder neck closure, supra pubic tube placement and harvesting a Martius flap.

Methods: A high definition surgical video using Iphone 13 ios still images and steris surgical video was created to demonstrate bladder neck closure with a posterior urethral and Martius interposition flaps. Anatomic landmarks and operative techniques were discussed to highlight critical steps. Movavi video editor was used to create this video.

Clinical Relevance: These operative techniques add additional tools to the armamentarium of the pelvic reconstruction surgeons who choose to perform or counsel patients regarding management options for urethral erosion. The procedure is technically feasible and provides satisfactory results.
Disclosure(s):
Gini B. Ikwuezunma, MD, MSCR: No financial relationships to disclose
Emmanuel Donkor, BS: No financial relationships to disclose
Randall B. Nesom, MD: No financial relationships to disclose
Lauren Oliver, BS: No financial relationships to disclose
Aleeza Abbasi, MD: No financial relationships to disclose
Gennady Slobodov, MD: No financial relationships to disclose

    Video Presenter(s)

  • Gini B. Ikwuezunma, MD, MSCR

    Fellow
    Oklahoma University Health Sciences Center
    Oklahoma City, Oklahoma, United States

    Disclosure(s): No financial relationships to disclose

    • Co-Author(s)

  • ED

    Emmanuel Donkor, BS

    Medical Student
    University of Oklahoma College of Medicine
    Oklahoma City, Oklahoma, United States

    Disclosure(s): No financial relationships to disclose

  • RN

    Randall B. Nesom, MD

    Resident
    University of Oklahoma College of Medicine
    Oklahoma City, Oklahoma, United States

    Disclosure(s): No financial relationships to disclose

  • LO

    Lauren Oliver, BS (she/her/hers)

    Medical Student
    The University of Oklahoma
    Oklahoma City, Oklahoma, United States

    Disclosure(s): No financial relationships to disclose

  • Aleeza Abbasi, MD

    Fellow
    University of Oklahoma Health Sciences Center
    Oklahoma City, Oklahoma, United States

    Disclosure(s): No financial relationships to disclose

  • GS

    Gennady Slobodov, MD

    Vice Chair of Education and Research
    University of Oklahoma HSC
    Oklahoma City, Oklahoma, United States

    Disclosure(s): No financial relationships to disclose