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Korean Journal of Obstetrics & Gynecology 2008;51(10):1210-1215.
Published online October 1, 2008.
Vesicovaginal fistula repaired by laparoscopic surgery: A case report.
Seung Ryoung Kim, Sung Hee Kim, Su Jin Lee, Min Hyun Baek, Sang Hoon Cheon, Hong Yong Choi, Jung Han Lee
1Department of Obstetrics and Gynecology, College of Medicine, Hanyang University Guri Hospital, Guri, Korea. obgyleejh@hanyang.ac.kr
2Department of Urology, College of Medicine, Hanyang University Guri Hospital, Guri, Korea.
Abstract
Vesicovaginal fistula may be a complication of gynecologic and obstetric procedures, of which abdominal hysterectomy remains as the most common cause. Although there are a number of transvaginal or transabdominal surgical techniques for the correction of this condition, we performed a laparoscopic repair to reduce the morbidity of the transabdominal approach. A 44-year-old woman presented with urinary incontinence after undergoing Cesarean hysterectomy for uterine atony eight years ago. After confirming her vesicovaginal fistula, laparoscopic repair was performed. The bladder and vaginal walls were mobilized by meticulous dissection and repaired by intracorporeal stitches in 2 layers followed by omental interposition. Total operative time was 3 and half hours and estimated blood loss was about 400 ml. Foley catheter was removed at 23rd day after operation. Patient was discharged at 26th day after confirming the complete correction of the fistula by cystogram. Laparoscopic repair of a vesicovaginal fistula appears to be a safe and effective procedure. We report this case with a brief review of literature.
Key Words: Vesicovaginal fistula, Laparoscopic surgery


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