Advertisement

International Urogynecology Journal

, Volume 29, Issue 4, pp 599–600 | Cite as

Video of the laparoscopic repair of a vesico-uterine fistula

  • Jerome Melon
  • Fay Chao
  • Weng Chan
  • Anna Rosamilia
IUJ Video
  • 158 Downloads

Abstract

Aim

Vesico-uterine fistulas (VUFs) are rare in modern gynecological practice. We aim to demonstrate with a video the surgical techniques involved in laparoscopic repair of a vesico-uterine fistula (Youssef’s syndrome).

Methods

A 37-year-old woman, para 2 and otherwise healthy, was referred to the Urogynaecology Unit 4 months following a vaginal birth after a previous cesarean, with ongoing pink-colored vaginal watery discharge. Cystoscopy and hysteroscopy confirmed the findings of a well-granulated fistulous tract connecting the base of the bladder and anterior uterine wall just above the level of the internal os. She underwent an uncomplicated laparoscopic repair of VUF.

Results

She has remained asymptomatic with resumption of normal menses and no clinical evidence of fistula recurrence at 6-week and 6-month post-operative reviews.

Conclusion

This video demonstrates the surgical techniques involved in the laparoscopic repair of a VUF, a rare case in modern gynecological practice where there are few surgical videos demonstrating techniques.

Keywords

Fistula repair Laparoscopic repair Vesico-uterine fistula Video Youssef’s syndrome 

Notes

Compliance with ethical standards

Conflicts of interest

None.

Consent

Written informed consent was obtained from the patient for publication of this video article and any accompanying images.

Supplementary material

ESM 1

(MP4 130,793 kb)

References

  1. 1.
    Hilton P. Trends in the aetiology of urogenital fistula: a case of ‘retrogressive evolution’? Int Urogynecol J. 2016;27:831–7.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Hadzi-Djokic JB, Pejcic TP, Colovic VC. Vesico-uterine fistula: report of 14 cases. BJU Int. 2007;100(6):1361–3.CrossRefPubMedGoogle Scholar
  3. 3.
    Bazi T. Spontaneous closure of vesicovaginal fistulas after bladder drainage alone: review of the evidence. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(3):329–33.CrossRefPubMedGoogle Scholar
  4. 4.
    Garza Cortés R, Clavijo R, Sotelo R. Laparoscopic treatment of genitourinary fistulae. Arch Esp Urol. 2012;65(7):659–72.PubMedGoogle Scholar
  5. 5.
    Waaldjik K. The immediate management of fresh obstetric fistulas with catheter and/or early closure. Int J Gynaecol Obstet. 1994;45:11–6.CrossRefGoogle Scholar
  6. 6.
    Bodner-Adler B, Hanzal E, Pablik E, Koelbl H, Bodner K. Management of vesicovaginal fistulas (VVFs) in women following benign gynaecologic surgery: a systematic review and meta-analysis. PLoS One. 2017;12(2):e0171554.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Sharma S, Rizvi SJ, Bethur SS, Bansal J, Qadri SJ, Modi P. Laparoscopic repair of urogenital fistulae: a single centre experience. J Minim Access Surg. 2014;10(4):180–4.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© The International Urogynecological Association 2018

Authors and Affiliations

  1. 1.Pelvic Floor UnitMonash Medical CentreClaytonAustralia

Personalised recommendations