Transvesicoscopic Bipolar Sealing of Vesicovaginal Fistula

Akkoç, Ali; Aydın, Cemil; Uçar, Murat; Şentürk, Aykut Buğra; Topçuoğlu, Murat; Metin, Ahmet

doi:10.1089/cren.2018.0013

Cited by 5 publications

(4 citation statements)

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“…Literature indicates that small fistulas, though rarely, can close spontaneously with good bladder drainage [ 10 , 11 ]. Thompson et al advocated that 15-20% of simple and small fistulas may heal spontaneously after bladder drainage [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Regardless of the technique applied, the most important issue in VVF repair, as suggested in the literature, is achieving adequate bladder drainage after surgery to allow tissue healing [ 11 ]. Accordingly, in our patient, the urethral catheter was maintained in the bladder for 10 days postoperatively and was removed after the methylene test to ensure complete closure of the fistula tract.…”

Section: Discussionmentioning

confidence: 99%

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Natural Orifice Transurethral Endoscopic Vesicovaginal Fistula (NOTE-VVF) Treatment for Early and Small Fistulas: Case Report and the Point of Technique

Demirtaş¹,

Sönmez²,

Tombul³

et al. 2022

Cureus

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Minimally invasive surgical approaches have become highly popular in line with technological advancements. In vesicovaginal fistula (VVF) repair, numerous minimally invasive surgical techniques have been described, namely, laparoscopic, robotic, and transvaginal techniques, and used. However, these techniques still require invasiveness. In this report, we present a patient with iatrogenic VVF on whom we applied a novel “zero-incision” technique, Natural Orifice Transurethral Endoscopic Vesicovaginal Fistula (NOTE-VVF) treatment, to repair the fistula tract by advancing the laparoscopic trocar through a natural orifice, i.e., urethra.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Natural Orifice Transurethral Endoscopic Vesicovaginal Fistula (NOTE-VVF) Treatment for Early and Small Fistulas: Case Report and the Point of Technique

Demirtaş¹,

Sönmez²,

Tombul³

et al. 2022

Cureus

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show abstract

“…Although there is no consensus on which approach is best, laparoscopic repair is the currently preferred method. [6].…”

Section: Introductionmentioning

confidence: 99%

“…We herein present the effectiveness and initial outcomes of "transvesicoscopic bipolar sealing of vesicovaginal fistula (TBSF)", a novel, minimally invasive technique which we have previously reported [6].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness and initial outcomes of transvesicoscopic bipolar sealing of vesicovaginal fistula

Akkoç¹,

Aydın²

2020

Journal of Surgery and Medicine

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Aim: Vesicovaginal fistula (VVF) is a social and psychological problem for the female population, causing urinary incontinence and foul-smelling urine. Open, laparoscopic, robotic, and various minimally invasive techniques have been described for the treatment of VVF. In this study, we presented the effectiveness and initial outcomes of transvesicoscopic bipolar sealing of vesicovaginal fistula (TBSF), a novel, minimally invasive technique which we had previously described. Methods: This surgical case series included 9 patients with VVF of <1 cm located away from ureteral orifices who underwent TBSF from July 2015 to December 2019. The fistula tract was sealed transvesicoscopically with a bipolar vessel sealer. All patients were informed about the modified surgical procedure prior to the operation. Results: The mean age of the patients was 47.2 (4.6) years. The mean fistula diameter was 6.6 (1.2) mm. The mean operation time was 41 (9.7) minutes. The hospital stay was 1 day in all cases. After catheter removal at 3 weeks, 8 (89%) patients remained dry while one (11%) patient experienced continuous incontinence. Conclusion: Transvesicoscopic bipolar sealing of vesicovaginal fistula is a simple and safe procedure to perform for small VVF, has a short learning curve and operative time, and results in reduced blood loss and morbidity, brief hospital stay and improved cosmesis.

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Transvaginal double-layer parallel in-situ suturing for early complex vesicovaginal fistula repair: Case report

Liu,

Cao,

Liu

et al. 2024

Medicine

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Rationale: Complex vesicovaginal fistulas (VVFs) with large defects pose significant surgical challenges. Traditional repair methods often require extensive tissue separation and multilayer suturing, risking local blood supply and healing. This study introduces a novel modified transvaginal repair technique that simplifies the procedure while preserving tissue vascularity. It employs double-layer parallel in situ suturing for early repair of complex VVF. Patient concerns: A 50-year-old woman was admitted with continuous vaginal urine leakage for 4 days following trauma. Speculum examination revealed a 3-cm longitudinal oval laceration at the 11 o’clock position in the dorsal lithotomy site, with continuous fluid leakage through the fistula. Diagnoses: Self-inflicted complex VVF. Interventions: The patient underwent prophylactic placement of bilateral double-J stents and continuous catheterization, followed by surgical repair using a modified transvaginal technique involving double-layer parallel in situ suturing. Outcomes: Postoperative evaluations showed successful healing with no urinary leakage. The vaginal sutures were removed on day 24, and follow-up at 1 year confirmed no recurrence of the fistula or lower urinary tract symptoms, significantly improving the patient’s quality of life. Lessons: The modified transvaginal repair technique using double-layer parallel in situ suturing is a simple and effective approach for early repair of complex VVF, highlighting its potential for broader clinical application. Future studies with larger cohorts are needed to validate these findings.

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Transvesicoscopic Bipolar Sealing of Vesicovaginal Fistula

Cited by 5 publications

References 4 publications

Natural Orifice Transurethral Endoscopic Vesicovaginal Fistula (NOTE-VVF) Treatment for Early and Small Fistulas: Case Report and the Point of Technique

Natural Orifice Transurethral Endoscopic Vesicovaginal Fistula (NOTE-VVF) Treatment for Early and Small Fistulas: Case Report and the Point of Technique

Effectiveness and initial outcomes of transvesicoscopic bipolar sealing of vesicovaginal fistula

Transvaginal double-layer parallel in-situ suturing for early complex vesicovaginal fistula repair: Case report

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