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Post-cesarean cervicovesical fistula: technique of laparoscopic repair
1Department of Urology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Purpose:
We describe the technique of laparoscopic repair of post-cesarean cervicovesical fistula.
Materials And Methods:
Two patients 30 and 35 years old, respectively, presented with urinary incontinence, amenorrhea and menouria. Both patients had undergone previously a second cesarean section. Diagnosis was post-cesarean cervicovesical fistula, which was repaired laparoscopically.
Results:
Laparoscopic repair was successfully completed in 1 patient. In the other case, after complete dissection of the fistula and preparation of the edges for suturing, surgery had to be converted to an open procedure due to inability to maintain a pneumoperitoneum.
Conclusions:
Laparoscopy is a viable option for the repair of post-cesarean cervicovesical fistula with all its attendant advantages.