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Organo Oficial de la Sociedad Mexicana de Urología

2010, Number 2

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Rev Mex Urol 2010; 70 (2)

Laparoscopic approach for vesicovaginal fistula

Marquina-Sánchez M, Esquivel-Pedraza P

Language: Spanish
References: 12
Page: 76-78
PDF size: 181.03 Kb.


ABSTRACT

Introduction: Vesicovaginal fistula is frequently a result of hysterectomy. The majority of cases are repaired satisfactorily via the vagina; however, when fistula is very high or repair cannot be made through the vagina, laparoscopy becomes an option. The laparoscopic technique used in 3 such cases is described.
Materials and methods: Ten vesicovaginal fistula surgeries were carried out within the time frame of January 2003 to February 2008. Seven of the procedures employed vaginal approach and 3 were laparoscopic. Surgical approach was determined in accordance with excretory urography, cystoscopy and colposcopy results.
Results: Mean surgery duration was 176 minutes. There were no conversions to open surgery. Mean age was 45 years. Mean hospital stay was 2 days. Bladder catheter was in place for 15 days. Minimum follow-up was 12 months and there was no vesicovaginal fistula recurrence.
Conclusions: When there is high fistula or when vaginal access is difficult, laparoscopy is a good alternative and the more invasive open surgery is avoided.


REFERENCES

  1. Miller EA, Webster GD. Current management of vesicovaginal fistulae. Curr Opin Urol 2001;11(4):417-421.

  2. Hilton P. Vesico-vaginal fistula: new perspectives. Curr Opin Obstet Gynecol 2001;13(5):513-520.

  3. O’Conor VJ Jr. Review of experience with vesicovaginal fistula repair. J Urol 1980;123(3):367-369 .

  4. Shlomo R. Early versus late repair of vesicovaginal fistulas: vaginal and abdominal approaches. J Urol 1995;153(4):1110-1112.

  5. von Theobald P, Hamel P, Febbraro W. Laparoscopic repair of a vesicovaginal fistula using an omental J flap. Br J Obstet Gynecol 1998;105(11):1216-1218.

  6. Eilber KS, Kavaler E, Rodríguez LV, Rosenblum N. Ten-year experience with transvaginal vesicovaginal fistula repair using tissue interposition. J Urol 2003;169:1033-1036.

  7. Lee RA, Symmonds RE, Williams TJ. Current status of genitourinary fistula. Obstet Gynecol 1988;72(3 Pt 1):313-319.

  8. Phipps J. Laparoscopic repair of post-hysterectomy vesicovaginal fistula. Two case reports. Gynecol Endosc 1996;5:123.

  9. Raz S, Bregg K, Nitti VW, Sussman E. Transvaginal repair of vesicovaginal fistula using a peritoneal flap. J Urol 1993;150(1):56-59.

  10. Blaivas JG, Heritz DM, Romanzi LJ. Early versus late repair of vesicovaginal fistulas: vaginal and abdominal approaches. J Urol 1995;153(4):1110-1112.

  11. Sotelo R, Mariano MB, García-Segui A. Laparoscopic repair of vesicovaginal fistula. J Urol 2005;173(5):1615-1618.

  12. Hemal AK, Kolla SB, Wadhwa P. Robotic Reconstruction for Recurrent Supratrigonal Vesicovaginal Fistulas. J Urol 2008;180(3):981-5.




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