Laparoscopic Repair of a Vesicovaginal Fistula

  • M. Ramalingam
  • Suma Natarajan

Open transabdominal and transvaginal approaches for repair of a vesicovaginal fistula (VVF) are well described [1,2]. Of late, the laparoscopic approach is also practiced in the repair of a VVF [5–9]. Transvesical transurethral repair has been described by McKay [3,4], wherein he used a transurethral port for suturing. But generally the repair continues to be a challenge even by the open technique as there is recurrence in about 5% to 10%. A VVF due to obstetric causes is repaired 3 months after the onset of vaginal urinary leak. But an iatrogenic VVF following pelvic surgery can be managed earlier as there is no ischemic etiology.


Laparoscopic Repair Vicryl Suture Ureteric Orifice Vesicovaginal Fistula Suprapubic Catheter 
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  1. 1.
    Gerber, Glenn S, Schoenberg HW (1993) Female urinary fistulas. J Urol 149:229–236.PubMedGoogle Scholar
  2. 2.
    Goodwin WE, Scardino PT (1980) Vesicovaginal fistulas: a summary of 25 years of experience. J Urol 123:370–374.PubMedGoogle Scholar
  3. 3.
    McKay HA (2001) Transurethral suture cystorrhaphy for repair of vesicovaginal fistulas: evolution of a technique. Int Urogynaecol J Pelvic Floor Dysfunct 12(4):282–287.CrossRefGoogle Scholar
  4. 4.
    McKay HA (2004) Vesicovaginal fistula repair: transurethral suture cystorrhaphy as a minimally invasive alternative. J Endourol 18(5):487–490.PubMedCrossRefGoogle Scholar
  5. 5.
    Miklos JR, Sobolewski C, Lucente V (1999) Laparoscopic management of recurrent vesicovaginal fistula. Int Urogynaecol J Pelvic Floor Dysfunction 10(2):l16–117.Google Scholar
  6. 6.
    Nabi G, Hemal AK (2001) Laparoscopic repair of vesicovaginal fistula and right nephrectomy for nonfunctioning kidney in a single session. J Endourol 15(8):801–803.PubMedCrossRefGoogle Scholar
  7. 7.
    Nezhat CH, Nezhat F, Nezhat C, Rottenberg H (1994) Laparoscopic repair of a vesicovaginal fistula: a case report. Obstet Gynecol 83(5.2):899–901.PubMedGoogle Scholar
  8. 8.
    Ou CS, Huang UC, Tsuang M, Rowbotham R (2004) Laparoscopic repair of vesicovaginal fistula. J Laparoendosc Adv Surg Tech A 14(1):17–21.PubMedCrossRefGoogle Scholar
  9. 9.
    Ramalingam M, Senthil K, Selvarajan K, Pai MG (2004) Laparoscopic repair of vesicovaginal fistula our experience. J Endourol 18:A192(abstr).Google Scholar

Copyright information

© Springer-Verlag London Limited 2009

Authors and Affiliations

  • M. Ramalingam
    • 1
  • Suma Natarajan
    • 2
  1. 1.K.G. Hospital and Post Graduate InstituteG. Kuppusamy Naidu Memorial HospitalCoimbatoreIndia
  2. 2.GKNM HospitalCoimbatoreIndia

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