Department of Urology
Martius Flap What is a Martius Flap? This is a surgical transfer of fatty tissue normally found in the labia majora through a tunnel, placing it around the female urethra. It is performed in complex urethral and/or vaginal surgery to optimise wound healing.
Why is it used? It is performed as part of a larger operation, such as: • Urethroplasty: surgery to repair or rebuild the urethra • Surgical excision of urethral diverticulum: removing a pouch or sac that has formed beside the urethra • Surgical removal of urethral/paraurethral masses: removing lumps, cysts, or growths in or next to the urethra • Repair of a vesicovaginal or urethrovaginal fistula: closing an abnormal hole between the bladder/vagina or urethra/vagina that causes leakage • Management of mesh-related complications: treating problems caused by previously inserted surgical mesh