CODE: 15.2 - Laparoscopic treatment of vesicovaginal fistula
Article published in Urologia Polska 2006/59/Suplement 1.

authors

Piotr Jarecki, Krzysztof Szkarłat

Oddział Urologii Szpitala Specjalistycznego w Kościerzynie

summary

Introduction. Vesicovaginal fistulas (VVF) are one of the most burdensome and stressful complications of gynecologic and obstetrics procedures. In developed countries the most common cause of VVF is surgical trauma of the bladder associated with gynecologic procedures. VVF could be managed transvaginally as well as by laparotomy. Effectiveness of treatment, aside from applied access, is comparable.

The aim of the study. The aim of the study is to present laparoscopic technique of VVF repair as an alternative to open surgery.

Materials and methods. We present a case of 42 years old women with VVF, treated using laparoscopic technique.

Results. The surgery lasted 210 min., blood loss was 100 cc. Patient was mobilized and feeded on the next day. Bladder catheter was removed during 4th postoperitve day. Hospital stay - 6 days. Cystostomy was removed during 14th day after surgery. 6 months after the procedure patient is dry.

Conclusions. Laparoscopic access is an alternative method of treatment of various urological procedures. There are only few papers concerning laparoscopic repair of VVF but results are very promising. This procedure is advocated in the centers with good experience in laparoscopic surgery.