[Intravesical laparoscopic repair of vesicovaginal fistula].
OBJECTIVE
To introduce a new technique to treat vesicovaginal fistula (VVF) with intravesical laparoscopic repair, and assess its safety and efficacy.


METHODS
Four female patients with iatronic VVF were treated with intravesical laparoscopic method between October 2008 and March 2010. The second case underwent open surgery repair four months ago. All the fistulae were in posterior wall of bladder,with 0.8 cm, 1.0 cm, 1.2 cm and 0.5 cm in size respectively. One 10 mm superpubic trocar and 2.5 mm lateral trocars were placed in surgery. Carbon dioxide gas was used to distend the bladder.


RESULTS
Four operations were completed successfully. The operative time was 80-140 min, and the blood loss was 50-100 mL. The indwelling catheter was removed after 4 weeks. All the patients were followed up for 1-8 months. Three patients showed no recurrence of fistula and had normal urination. One patient developed urinary leakage through the vagina again after 1 month.


CONCLUSIONS
Intravesical laparoscopic technique is a safe and effective treatment with micro-trauma for iatrogenic VVF, but more clinical files are needed for further evaluation.
Liu
Shi-jun
SJ
Department of Urology, Peking University People's Hospital, Beijing 100044, China.
Ye
Hai-yun
HY
Li
Qing
Q
Xu
Ke-xin
KX
Zhang
Xiao-peng
XP
Yu
Lu-ping
LP
Wang
Xiao-feng
XF
D000328:Adult; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D013520:Urologic Surgical Procedures / Q000379:methods; D014719:Vesicovaginal Fistula / Q000601:surgery*