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Vaginal Approach to Vesicovaginal Fistula and Vaginal Vault Prolapse Preserving Sexual Function by Latzko Repair and Sacrospinous Suspension

Crosby, Erin C. MD; Berger, Mitchell B. MD, PhD; DeLancey, John O. L. MD

Female Pelvic Medicine & Reconstructive Surgery: September/October 2012 - Volume 18 - Issue 5 - p 306–307
doi: 10.1097/SPV.0b013e31826d2d7c
Case Reports

The combination of vesicovaginal fistula and complete vaginal vault prolapse is rare. The only published treatment recommendations concern partial colpocleisis, an option that precludes intercourse. In this case report, we describe successful repair of this problem with a Latzko fistula repair and a concomitant Michigan 4-wall sacrospinous ligament suspension: instead of curing the fistula, correcting the prolapse, and preserving sexual function.

This case report describes the successful use of a combined Latzko vesicovaginal fistula repair and Michigan 4-wall sacrospinous ligament to repair a postoperative vesicovaginal fistula and vaginal vault eversion.

From the Pelvic Floor Research Group, Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI.

Reprints: Erin C. Crosby, MD, University of Michigan, Department of Obstetrics and Gynecology, 4000 Women’s Hospital, 1500 East Medical Center Dr, Ann Arbor, MI. E-mail:

The authors declare that they have nothing to disclose.

Copyright © 2012 Wolters Kluwer Health, Inc. All rights reserved.