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International Urogynecology Journal

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01-05-2018 | IUJ Video

Simple and effective: transvaginal vesico-vaginal fistula repair with a modified Latzko technique

Authors: Olivia Cardenas-Trowers, John Heusinkveld, Kenneth Hatch

Published in: International Urogynecology Journal | Issue 5/2018

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.

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Title: Simple and effective: transvaginal vesico-vaginal fistula repair with a modified Latzko technique
Authors: Olivia Cardenas-Trowers
John Heusinkveld
Kenneth Hatch
Publication date: 01-05-2018
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 5/2018
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-017-3471-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Simple and effective: transvaginal vesico-vaginal fistula repair with a modified Latzko technique

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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