Laparoscopic treatment of a vesico-vaginal fistula: A new approach

Antoni Llueca, Jose Luis Herraiz, Yasmine Maazouzi, Dolors Piquer


Vesicovaginal fistulas (VVF) are among the most distressing complications of gynecologic and obstetric procedures. Management of these fistulas has been better defined and standardized over the last decade. VVF repair is most commonly repared with transvaginal approach. We report a case of VVF which was repaired using a laparoscopic approach. The fistula was a complication of a benign laparoscopic hysterectomy. We describe a novel technique for the treatment of VVF of supratrigonal location by intraperitoneal laparoscopic approach.

Full Text:



Reparación laparoscópica de fíastula vésico-vaginal. Primer caso en México.

Colegio Mexicano de Urología. Vol XXII, 2. Mayo-Agosto 2007pag: 91-94

Sotelo R, Mirandolino B. Laparoscopic repair of vesicovaginal fistula. J. Urol 2005, 173: 1615-18

Miller, E. A; Webster, G.D: Current management of vesicovaginal fistulae. Curr Opin Urol 2001, 11:417.

Transperitoneal laparoscopic repair of iatrogenic vesicovaginal fistulas: Heilbronn experience and review of the literature.Gözen AS, Teber D, Canada AE, Rassweiler J.J Endourol. 2009 Mar,23(3):475-9.

O’Connor JR. Review of vesicovaginal fistula repair. J Urol.


Lee RA, Symmonds RE, Williams TJ. Current status of genitourinary fistula. Obstet Gynecol. 1988 Sep;72(3 Pt 1):313-9.

Margolis T, Mercer LJ. Vesicovaginal fistula: review.. Obstet Gynecol Surv. 1994 Dec; 49 (12): 840-7.

Hilton, P: Vesico-vaginal fistula:new perspectives. Curr Opin Obstet Gynecol 2001;13:513.

Romics I, Kelemen Z. The diagnosis and management of vesicovaginal fistulae. BJU int 2002; 89: 764-66.

Laparoscopic management of iatrogenic lesions

Dos Santos Abreu Lde A, Tanaka M, de Abreu SC, et al

J Endourol. 2008 Jun;22(6):1279-83

Antoni Llueca , Jose Luis Herraiz, Miguel Rodrigo, Yasmin Mazzouzi, Dolores Piquer, Miriam Guijarro, Arhoa Cañete, Javier Escrig. Intravesical mini-laparoscopic repair of vesicovaginal fistulas.Gynecological Surgery November 2015, Volume 12, Issue 4, pp 323-326



  • There are currently no refbacks.

Case Studies in Surgery  ISSN 2377-7311(Print)  ISSN 2377-732X(Online)

Copyright © Sciedu Press

To make sure that you can receive messages from us, please add the '' and ‘’ domains to your e-mail 'safe list'. If you do not receive e-mail in your 'inbox', please check your 'spam' or 'junk' folder.