Latzko operation for vault vesicovaginal fistula.
BACKGROUND
Various surgical procedures are currently performed for the treatment of posthysterectomy vesicovaginal fistula. Most of them are carried out via an abdominal incision.


OBJECTIVE
Report of our experience with Latzko's operation, a simple purely transvaginal procedure.


METHODS
Retrospective study of vesicovaginal fistulas treated by a Latzko procedure between June 1991 and June 2005.


RESULTS
Eleven patients were operated on. Two (18%) had a prior failed attempt of vesicovaginal fistula repair. Mean size of the fistulas was 12+/-11 mm (range: 2-40 mm). Mean operative duration was 62+/-33 min (range: 20-110 min). All fistulas healed. No intraoperative complications were observed. There was only one postoperative complication, a lower urinary tract infection in one patient. Mean hospital stay was 6+/-4 days (range: 2-12 days).


CONCLUSIONS
The Latzko procedure is an efficient, safe, and simple technique for the management of vault vesicovaginal fistulas, and can therefore be proposed as the first-line surgical treatment.
Ansquer
Yan
Y
Service de Gynécologie Obstétrique, Hôpital Saint Antoine, 184 rue du Faubourg, St Antoine, 75571, Paris Cedex 12, France. yan.ansquer@sat.aphp.fr
Mellier
George
G
Santulli
Pietro
P
Bennis
Malika
M
Mandelbrot
Laurent
L
Madelenat
Patrick
P
Carbonne
Bruno
B
Mathevet
Patrice
P
D000328:Adult; D000368:Aged; D005260:Female; D005602:France / Q000453:epidemiology; D013509:Gynecologic Surgical Procedures / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D007902:Length of Stay; D008499:Medical Records; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery*