Abstract

VARGAS-ROCHA, Vladimir Erik. Laparoscopic resection of vesico-vaginal fistula, with extravesical approach. Gac Med Bol [online]. 2022, vol.45, n.2, pp.174-177.  Epub Dec 01, 2022. ISSN 1012-2966.  https://doi.org/10.47993/gmb.v45i2.17.

The vesicovaginal fistula is the most common acquired fistula of the urinary tract; its main manifestation is the release of urine through the vagina. A fistula represents an abnormal communication between two epithelialized surfaces. The classification of fistulas is based on the organ of origin in the urinary tract and the end point of the fistula. Urinary incontinence due to the formation of a fistula is a major hygienic, psychological, and social problem for the patient, due to the continuous feeling of moisture, unpleasant odors, vaginal and bladder infections, and the inability to work and socialize that it conditions. The patient is 44 years old, with a history of hysterectomy for dysmenorrhea and uterine fibroids, with loss of vaginal urine 4 weeks after surgery, a repair of the fistula is performed 4 months after surgery, using a laparoscopic transperitoneal approach through 4 ports, with a follow-up at 6 months, with complete resolution, without recurrence, with minimal bleeding, currently without catheters, with normal genital and urinary function, with adequate urinary continence. Laparoscopic approach is an excellent alternative, although it requires experience in pelvic laparoscopic surgery, with the benefit for the patient of rapid recovery, with less pain and bleeding, which is why we believe that with practice and patience this type of approach is perfectly feasible.

Keywords : fistula; laparoscopy; vagina; bladder.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )