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Removal of an Intravesical Gellhorn Pessary and Staged Repair of a Residual Large Vesico-Vaginal Fistula
Published on: April 14, 2026
Giant supratrigonal vesicocervicovaginal fistula--a case report
Chinmoy K Bose1, Amit Basu, Subir Kanjilal
1North Maternity Home, Kolkata, India.
Medgenmed : Medscape General Medicine
|April 15, 2006
Summary
Vesicovaginal fistula (VVF) affects millions globally, causing severe health and social issues. This case report details a successful surgical repair of a large VVF using an abdominal approach.
Area of Science:
- Urology
- Gynecology
- Surgical Innovation
Background:
- Vesicovaginal fistula (VVF) is a significant global health issue, particularly in developing regions, affecting an estimated 2 million women.
- VVF leads to urogenital infections, dermatitis, and profound psychosocial distress, including social isolation.
- Surgical repair of VVF presents a considerable challenge for gynecologic surgeons.
Observation:
- This report focuses on a specific case involving a giant supratrigonal VVF.
Findings:
- The case successfully utilized an abdominal (suprapubic) transperitoneal transvesical approach for VVF repair.
- This surgical method proved effective for a complex and large fistula.
Implications:
- The described surgical approach offers a viable option for managing complex VVF cases.
- Successful VVF repair can significantly improve patients' quality of life and reduce healthcare burdens.