Laparoscopic repair of vesicouterine fistula—a case report

Abstract

We report the technique of laparoscopic repair of vesicouterine fistula. A 30 year old lady presented with incapacitating cyclical pain for one and a half years. She had undergone cesarean section 18 months ago. She was evaluated by a CT scan of abdomen and pelvis followed by a cystoscopy and diagnosed to have a vesicouterine fistula. This was managed laparoscopically (laparoscopic disconnection of fistula; closure of bladder and uterine rent; and omental interposition). There were no intraoperative or postoperative complications. Follow up CT scan of abdomen and cystoscopy revealed good healing of the repaired area. Laparoscopic repair of vesicouterine fistula is a feasible procedure.

Post‐cesarean vesicouterine fistula (Youssef syndrome): Report of two cases

“…Recent studies have shown a successful application of minimal access surgery to the surgical repair of VUF. Both laparoscopic repair and cystoscopic fulguration of the tract have been reported 26–28 . These carry the advantage of fewer postoperative morbidities and shorter hospital stay.…”

“…Both laparoscopic repair and cystoscopic fulguration of the tract have been reported. [26][27][28] These carry the advantage of fewer postoperative morbidities and shorter hospital stay. Das Mahapatra and Bhattacharyya 26 reported a 90% success rate using the laparoscopic approach.…”

A retrovesical approach for the laparoscopic repair of vesicouterine fistulas

“…Laparoscopic repair of VUFs has been reported anecdotally [2,12–14]. This minimally invasive approach offers potential advantages such as better visualization, decreased blood loss, faster recovery, and better cosmetic results.…”

Vesicouterine Fistula (Youssef Syndrome): Case Report and Literature Review

“…10 In the experience of Kottász and Gergely, 43 the surgeries performed by mixed teams, composed by gynecologists and urologists, have the best results; b) laparoscopic correction; Maioli et al 44 state that the final result of the laparoscopic treatment is very dependent on the experience of the surgical team with this technique; c) there are reports of good results with correction through the vaginal route; d) there are recent reports of good results with robotic surgery. [43][44][45][46][47][48][49] In the surgical treatment, the choice of the route, namely open abdominal, laparoscopic, transvaginal or robotic, depends on the location of the fistula and, as stated before, on the experience of the team in non-conventional routes (laparoscopic, transvaginal or robotic). The best results reported are with the open abdominal route.…”