title: Latzko operation for vault vesicovaginal fistula.
abstract: 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.
authors.affiliation: Service de Gynécologie Obstétrique, Hôpital Saint Antoine, 184 rue du Faubourg, St Antoine, 75571, Paris Cedex 12, France. yan.ansquer@sat.aphp.fr
authors.forename: Yan
authors.initials: Y
authors.lastname: Ansquer
authors.forename: George
authors.initials: G
authors.lastname: Mellier
authors.forename: Pietro
authors.initials: P
authors.lastname: Santulli
authors.forename: Malika
authors.initials: M
authors.lastname: Bennis
authors.forename: Laurent
authors.initials: L
authors.lastname: Mandelbrot
authors.forename: Patrick
authors.initials: P
authors.lastname: Madelenat
authors.forename: Bruno
authors.initials: B
authors.lastname: Carbonne
authors.forename: Patrice
authors.initials: P
authors.lastname: Mathevet
mesh_terms: 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*