title: Endoscopic transvesico-transurethral approach for repair of vesicovaginal fistula: initial case report.
abstract: Through an endoscopic transvesico-transurethral approach, we closed a vesicovaginal fistula that occurred after hysterectomy in a patient with uterine leiomyoma. The 3-mm fistula, located in the midportion of retrotrigone, was resected transurethrally and sutured in two layers through two 5-mm suprapubic trocars placed into the bladder and the urethral route under pneumobladder. The patient had no urine leakage from the vagina after surgery.
authors.affiliation: Department of Urology, Nagoya University School of Medicine, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Okamura
authors.forename: S
authors.initials: S
authors.lastname: Kanai
authors.forename: T
authors.initials: T
authors.lastname: Kurokawa
authors.forename: A
authors.initials: A
authors.lastname: Kondo
mesh_terms: D003558:Cystoscopy; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D007889:Leiomyoma / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D013536:Suture Techniques; D014521:Urethra; D001743:Urinary Bladder; D014594:Uterine Neoplasms / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000209:etiology / Q000601:surgery*