Simplified method for transvaginal closure of vesicovaginal fistula after hysterectomy.

The application of a modified Latzko's partial colpocleisis to vesicovaginal fistula occurring after abdominal hysterectomy has been reported. The present method, which is safe and highly effective, can be perfomred with ease by urologists having little experience with transvaginal operations. It is important in performing the present operation to remove the tension on the bladder wall by dissecting the cleavage plane between the vaginal wall and the bladder wall in a distal direction from the denuded area surrounding the fistula.