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Related Experiment Video

Updated: Jul 12, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

Vesico-Vaginal Fistula Repair Using Pneumovesicoscopy: A Single Tertiary Care Center Study.

Sunirmal Choudhury1, Malay Kumar Bera1, Rajat Nandy2

  • 1Department of Urology, Medical College and Hospital Kolkata, 88, College Street, Kolkata, 700073, India.

International Urogynecology Journal
|July 10, 2026
PubMed
Summary

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Pneumovesicoscopy (PV) offers a minimally invasive approach for vesico-vaginal fistula (VVF) repair, showing reduced operative time, blood loss, and hospital stay compared to laparoscopy (LA). Success rates were comparable, establishing PV as a safe and effective VVF treatment option.

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Gynecologic Surgery

Background:

  • Vesico-vaginal fistula (VVF) is a debilitating condition causing urinary incontinence due to abnormal bladder-vagina communication.
  • Iatrogenic VVF, often following hysterectomy, necessitates effective surgical repair techniques.
  • Conventional laparoscopy (LA) is a standard approach, but minimally invasive alternatives are being explored.

Purpose of the Study:

  • To prospectively compare the efficacy and outcomes of pneumovesicoscopy (PV) versus laparoscopy (LA) for repairing simple to intermediate vesico-vaginal fistulas.
  • To evaluate operative time, blood loss, hospital stay, success rates, and complications for both PV and LA VVF repair.

Main Methods:

  • A prospective study involving 50 female patients with iatrogenic VVF post-hysterectomy.
Keywords:
LaparoscopyMinimally invasive surgeryPneumovesicoscopyVesicovaginal fistula

Related Experiment Videos

Last Updated: Jul 12, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

  • Patients were randomized into two groups: pneumovesicoscopy (PV, N=25) and laparoscopy (LA, N=25).
  • Outcomes assessed included operative duration, estimated blood loss, length of hospital stay, and 3-month success rates via a two-swab test.

    • Main Results:

    • Pneumovesicoscopy (PV) demonstrated significantly shorter operative times (110.5 min vs. 175.8 min) and reduced blood loss (25.1 mL vs. 40.2 mL) compared to laparoscopy (LA).
    • PV patients experienced significantly shorter hospital stays (2.1 days vs. 4.5 days).
    • Success rates at 3 months were comparable (PV: 88%, LA: 84%), with lower complication rates in the PV group (12% vs. 28%).

    Conclusions:

    • Pneumovesicoscopy (PV) is a feasible, safe, and effective minimally invasive technique for repairing simple to intermediate vesico-vaginal fistulas.
    • PV offers advantages over conventional laparoscopy (LA), including shorter operative times, less blood loss, and faster recovery.
    • PV achieves comparable success rates to LA, making it a valuable alternative for VVF treatment.