Laparoscopic transabdominal transvesical vesicovaginal fistula repair

Journal of Endourology
Carson WongV Lucente

Abstract

Transabdominal transvesical repair has been the standard treatment for difficult vesicovaginal fistulae. We describe a laparoscopic transvesical technique that minimizes operative morbidity while adhering to the principles of transabdominal repair as described by O'Conner. The patient is placed in the lithotomy position using Allen stirrups, and bilateral 5F open-ended ureteral catheters are placed cystoscopically. Using four laparoscopic ports, the prevesical space is accessed. The bladder is bivalved down to the fistula, and stay sutures are placed at the bladder edges for exposure. The fistulous tract and adjacent fibrotic tissue are excised, and the bladder and vagina are closed separately with single layers of full-thickness interrupted 2-0 Vicryl sutures. An omental flap is interposed between suture lines in the bladder and vagina. The ureteral catheters are sequentially removed on the first and second postoperative days. A gravity cystogram is performed 3 weeks postoperatively; if it is normal, the urethral catheter is removed. This procedure has been performed on two consecutive patients who had failed prior Latzko repairs. Both patients were discharged 2 days postoperatively without complications. At a follow-up of 41 ...Continue Reading

References

Sep 1, 1976·The Journal of Urology·R Turner-Warwick
Dec 1, 1988·Southern Medical Journal·S H Cruikshank
Mar 1, 1980·The Journal of Urology·V J O'Conor
Oct 31, 1998·International Urogynecology Journal and Pelvic Floor Dysfunction·P Hilton, A Ward
Jun 29, 1999·International Urogynecology Journal and Pelvic Floor Dysfunction·J R MiklosV Lucente
Mar 1, 1956·American Journal of Obstetrics and Gynecology·H S EVERETT, R F MATTINGLY
Apr 12, 2005·The Journal of Urology·René SoteloAntonio Finelli

❮ Previous
Next ❯

Citations

Nov 26, 2010·International Urogynecology Journal·Aly M Abdel-KarimSalah Elsalmy
Dec 14, 2011·International Urogynecology Journal·Edward Stanford, Lauri Romanzi
Nov 27, 2007·Archives of Gynecology and Obstetrics·Tibet ErdogruMehmet Baykara
Sep 21, 2007·Current Urology Reports·Brian L Cohen, Angelo E Gousse
Mar 12, 2013·Current Urology Reports·Christopher F Tenggardjaja, Howard B Goldman
Oct 20, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Nasser SimforooshSeyed Hossein Hosseini Sharifi
Apr 1, 2007·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Santosh KumarGanesh Gopalakrishnan
Oct 7, 2011·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·A KaratzasM Melekos
Mar 15, 2015·Journal of Minimally Invasive Gynecology·John R MiklosOrawee Chinthakanan
Jan 24, 2015·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Luciano A Nunez BragayracRene Sotelo
Apr 18, 2017·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Jang Hee HanJang Hwan Kim
Nov 30, 2016·Obstetrics & Gynecology Science·Bastab GhoshDilip Kumar Pal
Jul 22, 2008·The Journal of Urology·Ashok K HemalPankaj Wadhwa
Jan 15, 2010·Current Opinion in Urology·Lalgudi N Dorairajan, Ashok K Hemal
Oct 24, 2009·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Francesco PorpigliaRoberto Mario Scarpa
Sep 28, 2010·Current Opinion in Urology·Jens RassweilerDogu Teber
Aug 12, 2014·Current Opinion in Obstetrics & Gynecology·Erin M Mellano, Christopher M Tarnay
Sep 1, 2012·Journal of Robotic Surgery·I BelibasakisK Makrygiannaki

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.

© 2022 Meta ULC. All rights reserved