Laparoscopic repair of a vesicovaginal fistula: a case report.
BACKGROUND
Operative laparoscopy was performed for the management of ovarian remnant syndrome involving the bladder, bowel, vagina, and ureters, and requiring extensive dissection. A vesicovaginal fistula developed postoperatively.


METHODS
Because of the complexity and location of the fistula, a vaginal approach was not appropriate. Using techniques of videolaparoscopy, videocystoscopy, and operative laparoscopy, the fistula was repaired.


CONCLUSIONS
In experienced hands, endoscopic management of complex vesicovaginal fistulas may be an alternative to the traditional abdominal approach.
Nezhat
C H
CH
Center for Special Pelvic Surgery, Atlanta, Georgia.
Nezhat
F
F
Nezhat
C
C
Rottenberg
H
H
D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D010052:Ovariectomy; D011183:Postoperative Complications / Q000601:surgery*; D014719:Vesicovaginal Fistula / Q000601:surgery*