Laparoscopic Repair of Vesicouterine Fistula
Vesicouterine fistula (VUF) is the rarest form of genitourinary fistulas. Despite the advantages of laparoscopy, there are few case reports showing its feasibility in the management of this rare entity. A 40-year-old woman presented to our department with urinary incontinence associated to cyclic hematuria and amenorrhea. After diagnosis of cervicovesical fistula, the laparoscopic approach was chosen. Catheterization of the fistula tract during cystoscopy at the time of laparoscopy was beneficial to localize the fistula tract and allowed meticulous dissection in the retrovesical space between the bladder and the uterus. Operating time was approximately 165 min. The woman had no signs of recurrence after 12 months of follow-up. Laparoscopic VUF repair is an effective and safe technique with successful outcome...