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Laparoscopic Vesicovaginal Fistula Repair

Minimally invasive transabdominal repair of an abnormal connection between bladder and vagina.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Laparoscopic Vesicovaginal Fistula Repair?

Vesicovaginal fistula is an abnormal communication between the bladder and vagina that produces continuous urinary incontinence; the most common etiologies in developed countries are gynaecologic surgery, while obstetric injury predominates in developing regions.

Surgical repair is the gold standard. The laparoscopic and robotic transabdominal approach is preferred for high, recurrent or large fistulae and provides excellent visualization and tension-free closure with tissue interposition.

Outcome depends on early diagnosis, adequate preoperative imaging, mature non-inflamed tissue, multilayered closure with interposition flap and prolonged urinary diversion.

Symptoms

Continuous urinary leakage from vagina
Recurrent urinary tract infections
Vulvovaginal irritation
Pelvic discomfort
Hematuria after gynaecologic surgery
Postpartum incontinence after obstructed labour
Failed conservative catheter management

Risk Factors

Hysterectomy or pelvic surgery
Obstructed labour
Pelvic radiation
Pelvic malignancy
Foreign body or pessary erosion
Endometriosis surgery
Inflammatory bowel disease

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Continuous urinary leakage after surgery or delivery
  • Recurrent fistula
  • Failed catheter trial of healing
  • Coexisting ureteric injury
  • Need for tissue interposition
  • Persistent leakage despite local repair

Treatment Methods

01
Catheter drainage trial in early small fistulae
02
Imaging with cystography, MRI and ureteral evaluation
03
Laparoscopic or robotic transabdominal repair
04
Wide multilayered closure of bladder and vagina
05
Omental or peritoneal flap interposition
06
Bladder catheter for 14–21 days postoperatively
07
Pelvic floor rehabilitation and follow-up cystography

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.