Laparoscopic vesico-vaginal fistula repair: our experience and review of the literature.
OBJECTIVE
To describe our experience with laparoscopic transperitoneal vesico-vaginal fistula (VVF) repair and we review current literature.


METHODS
Four patients with VVF underwent transperitoneal transvesical laparoscopic repair, with the same principles of open abdominal approach. We considered: operation time, complications, hospital stay, Foley catheter duration, and recurrence during the follow-up.


RESULTS
Mean operative time was 103 minutes and no complications were recorded. Average length of hospital stay was 3 days, Foley catheter remained indwelling on an average of 8 days. All patients were cured, after a mean of 14.5 months no recurrence was recorded and no patient referred urinary symptoms.


CONCLUSIONS
On the basis of our and literature data, we believe that laparoscopic VVF repair is feasible, safe and effective and it is a viable alternative to the traditional open procedure.
Divisione Universitaria di Urologia, Dipartimento di Scienze Cliniche e Biologiche, Facoltà di Medicina e Chirurgia San Luigi Gonzaga, Università degli Studi di Torino, Azienda Ospedaliero Universitaria San Luigi Gonzaga, Orbassano (Torino), Regione GonzoleOrbassano, Torino, Italy.
Francesco
F
Porpiglia
Cristian
C
Fiori
Ivano
I
Morra
Francesca
F
Ragni
Davide
D
Vaccino
Roberto Mario
RM
Scarpa
D000328:Adult; D005240:Feasibility Studies; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods / Q000706:statistics & numerical data; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000706:statistics & numerical data; D007902:Length of Stay / Q000706:statistics & numerical data; D008875:Middle Aged; D016896:Treatment Outcome; D014719:Vesicovaginal Fistula / Q000601:surgery*