Laparoscopic transperitoneal extravesical approach to vesicovaginal fistula repair without omental flap: a novel technique.

INTRODUCTION AND HYPOTHESIS: The O'Connor bladder bivalving technique remains the traditional abdominal approach to vesicovaginal fistula repair whether performed via laparotomy or laparoscopy.

METHODS

This video depicts a new surgical technique utilizing a laparoscopic transperitoneal extravesical approach without invasive bladder bivalving or an omental flap. This technique was first described in 1999 and has been utilized on >40 patients with either primary or recurrent vesicovaginal fistulas.

RESULTS

A 98% success rate is reported.

CONCLUSION

This alternative technique can be performed using either a laparoscopy or the traditional laparotomy approach.