Extraperitoneal transvesical repair of a supratrigonal vesicovaginal fistula using transurethral illumination and laparoscopic instruments: A minimally invasive approach beyond transvaginal or transabdominal repair
Year: 2025
Type: article
Study design: Case Report
Abstract: Plain Language Summary This is a 56-year-old woman with a history of endometrial cancer who underwent multiple abdominal gynecological surgeries and pelvic radiation therapy. She subsequently developed a 2-cm supratrigonal vesicovaginal fistula following transurethral resection of a solitary bladder recurrence of her endometrial cancer. Given her oncologic history and the altered abdominal anatomy resulting from prior surgeries and radiation, we performed an extraperitoneal transvesical repair using transurethral illumination and laparoscopic instruments. A shorter and lightweight telescope, such as an ear, nose, and throat sinuscope, was utilized to improve surgical ergonomics. This minimally invasive approach allowed us to avoid entering the peritoneal cavity, thereby reducing the risk of organ injury associated with transabdominal repair in such complex cases. To illustrate this technique, we present this case report with step-by-step procedural guidance. Plain Language SummaryA 56-year-old woman with a history of endometrial cancer developed a vesicovaginal fistula after bladder surgery. Due to her complex medical history, including previous surgeries and radiation, a minimally invasive repair was performed using a novel approach. This involved extraperitoneal transvesical repair with transurethral illumination and laparoscopic tools, avoiding the peritoneal cavity to reduce organ injury risk. A smaller telescope, typically used in ENT procedures, was employed for better surgical ergonomics. This case report provides detailed procedural guidance for this technique, highlighting its potential benefits in similar complex surgical scenarios. Text is machine generated and may contain inaccuracies. FAQ
Source: Urological Science
Authors: Tsun-Hsiang Cheng, Hao-Chih Yang, Kuo-Hsiung Chiu, Wei-Yu Lin
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4415471881