We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Simple and effective: transvaginal vesico-vaginal fistula repair with a modified Latzko technique.
- Authors
Cardenas-Trowers, Olivia; Heusinkveld, John; Hatch, Kenneth
- Abstract
Introduction and hypothesis: The incidence of vesico-vaginal fistulas after hysterectomies for benign indications in developed countries is less than one percent. The objective of this video is to demonstrate an easy-to-follow, step-by-step approach to repairing a small, uncomplicated vesico-vaginal fistula transvaginally using a modified Latzko technique.Methods: In this video, we present a case of a 46-year-old woman who developed a simple, uncomplicated vesico-vaginal fistula after a total abdominal hysterectomy. To correct her fistula, we used a modified Latzko technique, which is a transvaginal approach to vesico-vaginal fistula repair that involves mobilizing the vaginal mucosa around the fistula and then closing the pubo-vesical fascia and vaginal mucosa in layers.Results: The patient had successful surgical correction of her vesico-vaginal fistula without recurrence of the fistula.Conclusions: For small, uncomplicated vesico-vaginal fistulas, a transvaginal approach has an equivalent success rate to that of other approaches with less invasiveness and faster recovery times. Therefore, it is reasonable to use a modified Latzko technique to help restore the quality of life to women affected by small, uncomplicated vesico-vaginal fistulas.
- Subjects
VAGINAL disease treatment; URINARY incontinence; MAGNETIC resonance imaging; VESICOVAGINAL fistula; VAGINAL hysterectomy; PREVENTION
- Publication
International Urogynecology Journal, 2018, Vol 29, Issue 5, p767
- ISSN
0937-3462
- Publication type
Article
- DOI
10.1007/s00192-017-3471-8