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.
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References
Gerber, Glenn S, Schoenberg HW (1993) Female urinary fistulas. J Urol 149:229–236.
Goodwin WE, Scardino PT (1980) Vesicovaginal fistulas: a summary of 25 years of experience. J Urol 123:370–374.
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.
McKay HA (2004) Vesicovaginal fistula repair: transurethral suture cystorrhaphy as a minimally invasive alternative. J Endourol 18(5):487–490.
Miklos JR, Sobolewski C, Lucente V (1999) Laparoscopic management of recurrent vesicovaginal fistula. Int Urogynaecol J Pelvic Floor Dysfunction 10(2):l16–117.
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.
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.
Ou CS, Huang UC, Tsuang M, Rowbotham R (2004) Laparoscopic repair of vesicovaginal fistula. J Laparoendosc Adv Surg Tech A 14(1):17–21.
Ramalingam M, Senthil K, Selvarajan K, Pai MG (2004) Laparoscopic repair of vesicovaginal fistula our experience. J Endourol 18:A192(abstr).
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Ramalingam, M., Natarajan, S. (2009). Laparoscopic Repair of a Vesicovaginal Fistula. In: Ramalingam, M., Patel, V.R. (eds) Operative Atlas of Laparoscopic Reconstructive Urology. Springer, London. https://doi.org/10.1007/978-1-84800-151-0_19
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