Post-cesarean cervicovesical fistula: technique of laparoscopic repair.
OBJECTIVE
We describe the technique of laparoscopic repair of post-cesarean cervicovesical fistula.


METHODS
Two patients 30 and 35 years old, respectively, presented with urinary incontinence, amenorrhea and menouria. Both patients had undergone previously a second cesarean section. Diagnosis was post-cesarean cervicovesical fistula, which was repaired laparoscopically.


RESULTS
Laparoscopic repair was successfully completed in 1 patient. In the other case, after complete dissection of the fistula and preparation of the edges for suturing, surgery had to be converted to an open procedure due to inability to maintain a pneumoperitoneum.


CONCLUSIONS
Laparoscopy is a viable option for the repair of post-cesarean cervicovesical fistula with all its attendant advantages.
Department of Urology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
A K
AK
Hemal
R
R
Kumar
G
G
Nabi
D000328:Adult; D002584:Cervix Uteri; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D005402:Fistula / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D011247:Pregnancy; D001747:Urinary Bladder Fistula / Q000601:surgery*; D014591:Uterine Diseases / Q000601:surgery*