[Surgical treatment of post hysterectomy vesicovaginal fistulas: our experience of more than a decade].

The results of the surgical treatment of 21 consecutive patients with posthysterectomy vesicovaginal fistulas admitted in Second gynaecology clinic of the University Hospital of Ob&Gyn in Sofia between 1993 and 2006 are presented. 19 of the patients had no previous attempts of repair, 2 had 2 and 4 failed attempts for surgical repair respectively. All 21 patients were operated using one and the same technique of transperitoneal transvesical fistula repair. All operations were successful. There were no intra or postoperative complications and all patients had an uneventful recovery. The authors appreciate the technique used for its utmost reliability which warrants its greater complexity and surgical trauma compared to the other approaches for vesicovaginal fistula repair.