Same problem, different approaches: transvesical and extravesical laparoscopic vesicovaginal fistula repair-case report.

ABSTRACT: Vesicovaginal fistulas (VVaFs) are relatively uncommon in developed countries but with devastating consequences for the women suffering them. Conservative management has a low response rate. The surgical repair is a technically demanding procedure. Transvaginal, open transabdominal or laparoscopic (pure or robot-assisted) approaches have been described with similar post-operative results. We report two real-life cases of VVaF after surgery of benign gynaecological conditions, both presenting with continuous urinary incontinence and repaired with laparoscopic surgery. The first case had a simple tract above the trigone and was managed with an extravesical approach. The second is a complex case with multiple fistulous tracts that required a transabdominal-transvesical approach (modified O'Co

SUBMITTER: Hernandez-Hernandez D 

PROVIDER: S-EPMC8575560 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature