transvesicoscopic repair of vesicovaginal fistulatransvesicoscopic vesicovaginal瘘修复.pdfVIP

Hindawi Publishing Corporation Diagnostic and Therapeutic Endoscopy Volume 2010, Article ID 760348, 4 pages doi:10.1155/2010/760348 Research Article Transvesicoscopic Repair of Vesicovaginal Fistula R. B. Nerli and Mallikarjun Reddy Department of Urology, KLES Kidney Foundation, KLES Dr. Prabhakar Kore Hospital, Belgaum 590010, India Correspondence should be addressed to R. B. Nerli, rajendranerli@yahoo.in Received 2 September 2009; Accepted 23 November 2009 Academic Editor: Pedro F. Escobar Copyright © 2010 R. B. Nerli and M. Reddy. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Introduction. Vesicovaginal fistula has been a social and surgical problem for centuries. Many surgical techniques have been developed to correct this abnormality, including transabdominal, transvaginal, and endoscopic approaches. The best approach is probably the one with which the surgeon feels most experienced and comfortable. Laparoscopy has become increasingly popular in urology, reducing the invasiveness of treatment and shortening the period of convalescence. We report our results of transvesicoscopic approach for VVF repair. Materials and Methods. Patients with VVF were offered repair using the transvesicoscopic route. With the patient under general anaesthesia and in modified lithotomy position cystoscopy was performed with gas insufflation. Under cystoscopic guidance the bladder was fixed to anterior abdominal wall and ports inserted into the bladder. The fistula was repaired under endoscopic vision. Results. Four women, who had VVF following