Techniques for surgical repair of vesicovaginal fistulae

The surgical therapy of vesicovaginal fistulae is discussed on the basis of a surgical material of 15 patients treated over a period of 5 years. The combined, transvesical-vaginal approach was used in 5, the transvesical approach in 3, and the vaginal approach in 3 cases. Ureterosigmoidostomy was performed in 1 case. Spontaneous healing of the fistula ensued in 3 cases. The types of surgery employed are commented upon.