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Endoscopic transvesico-transurethral approach for repair of vesicovaginal fistula: initial case report
K Okamura1, S Kanai, T Kurokawa
1Department of Urology, Nagoya University School of Medicine, Japan.
Journal of Endourology
|June 1, 1997
Abstract:
Through an endoscopic transvesico-transurethral approach, we closed a vesicovaginal fistula that occurred after hysterectomy in a patient with uterine leiomyoma. The 3-mm fistula, located in the midportion of retrotrigone, was resected transurethrally and sutured in two layers through two 5-mm suprapubic trocars placed into the bladder and the urethral route under pneumobladder. The patient had no urine leakage from the vagina after surgery.