Laparoscopic transperitoneal extravesical repair of vesicovaginal fistula.
OBJECTIVE
Laparoscopic repair of vesicovaginal fistula (VVF) has been recently reported. We present our experience of laparoscopic transperitoneal extravesical repair of VVF.


METHODS
Fifteen females with supratrigonal VVF were included. Patients with malignant radiation and recurrent fistulas were excluded. Laparoscopic transperitoneal extravesical repair was done using four to five ports. The bladder was closed longitudinally, while the vagina was closed transversally with interposition of omentum in between. Bladder was drained by a urethral catheter for 3 weeks.


RESULTS
Mean operative time was 171.6 ± 19.5 min. There was no conversion to open in all patients. Mean blood loss was 110 ± 17 cc. No intraoperative or postoperative complications. Mean hospital stay was 3 ± 1 days. At a mean follow-up of 18.9 ± 8.6 months all patients were cured.


CONCLUSIONS
Laparoscopic transperitoneal extravesical repair of VVF is a safe and effective minimally invasive procedure for treatment of VVF.
Urology Department, Alexandria University, 12 Ahmed Basha Zol-Fokar, # 903 Louran, Alexandria, Egypt. alym_68@yahoo.com
Aly M
AM
Abdel-Karim
Ahmed
A
Mousa
Mohamed
M
Hasouna
Salah
S
Elsalmy
D000328:Adult; D016063:Blood Loss, Surgical; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008875:Middle Aged; D011446:Prospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014719:Vesicovaginal Fistula / Q000601:surgery*; D055815:Young Adult