The post-total hysterectomy (vault) vesicovaginal fistula

Sixty-seven cases of lower urinary tract genital fistulas were seen during the last 7 years. Of the 67 cases 45 (67 per cent) followed total hysterectomy, of which 43 were operated upon transvaginally using the Latzko technique of partial colpocleisis. There were 40 primary cures (93 per cent) and 3 failures (7 per cent), each of which was cured by a secondary Latzko operation. The advantages of the operation are discussed.