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Updated: Jul 15, 2026

Removal of an Intravesical Gellhorn Pessary and Staged Repair of a Residual Large Vesico-Vaginal Fistula
Published on: April 14, 2026
[Laparoscopic augmentation enterocystoplasty: initial experience]
C Núñez Mora1, R Cansino Alcaide, S Alonso Gregorio
1Servicio de Urología, Hospital Universitario La Paz, Universidad Autónoma de Madrid. cnunezmora@hotmail.com
Objective:
To analyze the initial experience of our group in the realization of the augmentation enterocystoplasty by laparoscopyc approach.
Methods And Patients:
We describe the augmentation enterocystoplasty technique with ileal segment completely achieved by laparoscopyc approach. We present the cases of two patients suffering from hyperreflexic bladder refractory to medical treatment who underwent this surgery. In both cases the technique was realized without intraoperative complications although it was needed a surgical time of 6 and 4.5 hours respectively. The results after 12 and 5 months were satisfactory in both patients, obtaining a low pressure bladder with a good continence.
Conclusions:
Laparoscopyc augmentation enterocystoplasty is a complicated technique that requires a great experience, mainly in laparoscopyc suture. It reproduces completely the open surgery and it offers all the advantages inherent to the laparoscopyc surgery.