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Related Experiment Video

Updated: Mar 16, 2026

Vessel-sparing Excision and Primary Anastomosis

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Urethrovaginal fistula closure.

Marisa M Clifton¹, Howard B Goldman²

¹Department of Urology, 9500 Euclid Avenue/ Q10-1, Cleveland, OH, 44195, USA. marisameyerclifton@gmail.com.

International Urogynecology Journal

|August 16, 2016

Summary

This video demonstrates the surgical repair of a rare urethrovaginal fistula, emphasizing careful dissection and tension-free closure for successful outcomes in iatrogenic injuries.

Keywords:

Suburethral sling Vaginal fistula Vaginal surgery

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Area of Science:

Urology
Gynecologic Surgery
Female Pelvic Medicine

Background:

Urethrovaginal fistulas are uncommon, often resulting from iatrogenic injury in developed countries.
Surgical correction demands meticulous technique, including precise dissection and tension-free closure.

Observation:

A 59-year-old woman developed continuous urinary incontinence post-sling excision for mesh extrusion.
Physical examination and cystourethroscopy confirmed a midurethral urethrovaginal fistula.

Findings:

The video details the transvaginal repair of an urethrovaginal fistula.
Techniques shown include Foley catheter intubation, fistula tract isolation, and multi-layered, tension-free urethral closure.

Implications:

Effective surgical management of urethrovaginal fistulas relies on careful identification and meticulous, tension-free repair.
This approach is crucial for restoring continence and improving patient quality of life.