[Cure of complex post-irradiation uro-genital fistulae].

The authors report two cases of complex radiation induced urogenital fistulae (vesicovaginal and combined rectovaginal), which were closed successfully at the second attempt with complete restitution of bladder function, without any urinary diversion using colpocleisis in one patient. They mention the necessity of bringing a new source of blood supply into the fistula repair area. Then, they review the different extensive procedures used to ensure this result: small bowel graft, omentopexy to reinforce the suture lines, fibroadipose tissue from the labia majora (Martius' operation).

[Synechia of the labia minora as a cause of dysuria].

Vulvar fusion is common in children but is rarely discovered in adult woman. The authors report two cases, observed in post menopausal women, and revealed by urinary symptoms.