Endoscopic transvesico-transurethral approach for repair of vesicovaginal fistula: initial case report

K OKAMURA, S KANAI, T KUROKAWA… - Journal of …, 1997 - liebertpub.com
K OKAMURA, S KANAI, T KUROKAWA, A KONDO
Journal of endourology, 1997liebertpub.com
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.
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.
Mary Ann Liebert
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