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Laparoscopic repair of a vesicovaginal fistula: A case report.

Nezhat, Ceana H. MD; Nezhat, Farr MD; Nezhat, Camran MD; Rottenberg, Howard MD
Obstetrics & Gynecology: May 1994
Laparoscopic repair of a vesicovaginal fistula: PDF Only

Background: Operative laparoscopy was performed for the management of ovarian remnant syndrome involving the bladder, bowel, vagina, and ureters, and requiring extensive dissection. A vesicovaginal fistula developed postoperatively.

Case: Because of the complexity and location of the fistula, a vaginal approach was not appropriate. Using techniques of videolaparoscopy, videocystoscopy, and operative laparoscopy, the fistula was repaired.

Conclusion: In experienced hands, endoscopic management of complex vesicovaginal fistulas may be an alternative to the traditional abdominal approach. (Obstet Gynecol 1994;83:899-901)

(C) 1994 The American College of Obstetricians and Gynecologists