Laparoscopic Repair of Vesicovaginal Fistula

Abstract

Open transabdominal and transvaginal approaches for repair of vesicovaginal fistula (VVF) are well described [1, 2]. Currently laparoscopic approach is widely practised in the repair of vesicovaginal fistula [5–9]. Transvesical transurethral repair has been described by Mc Kay et al. [3, 4], wherein he used a transurethral port for suturing. The repair continues to be a challenge even by open technique as recurrence results in about 5–10 %. VVF due to obstetric causes are repaired 3 months after the onset of vaginal urinary leak. However iatrogenic VVF following pelvic surgery can be managed earlier as there is no ischemia to tissues.