Limited anterior cystotomy: a useful alternative to the vaginal approach for vesicovaginal fistula repair

Nicholas J Hellenthal; Dana K Nanigian; Luis Ambert; Anthony R Stone

doi:10.1016/j.urology.2007.07.064

Limited anterior cystotomy: a useful alternative to the vaginal approach for vesicovaginal fistula repair

Urology. 2007 Oct;70(4):797-8. doi: 10.1016/j.urology.2007.07.064.

Authors

Nicholas J Hellenthal¹, Dana K Nanigian, Luis Ambert, Anthony R Stone

Affiliation

¹ Department of Urology, University of California, Davis, Medical Center, Sacramento, CA 95817, USA. nicholas.hellenthal@ucdmc.ucdavis.edu

PMID: 17991563
DOI: 10.1016/j.urology.2007.07.064

Abstract

In developed nations, vesicovaginal fistulas are most commonly encountered as a complication after gynecologic surgery. Most fistulas are corrected using a transvaginal approach; however, complicated cases often require intraabdominal repair. A novel abdominal approach is described, using a small anterior cystotomy and omental pedicle interposition.

MeSH terms

Cystotomy / methods*
Female
Humans
Minimally Invasive Surgical Procedures
Urogenital Surgical Procedures / methods*
Vesicovaginal Fistula / surgery*