Clinic study of laparoscopic repair assisted by cystoscopy in vesicovaginal fistula

Objective To evaluate the efficiency and safety of laparoscopy assisted by cystoscopy in vesicovaginal fistula (VVF). Methods Eighteen VVF patients after hysterectomy or cesarean section were reviewed retrospectively from September 2014 to September 2016. All cases were diagnosed by cystoscopy and CTU, and underwent laparoscopic repairment assisted by cystoscopy, which mainly used for ureter protection and fistula location. The surgical methods were analyzed by operative time and intraoperative blood loss. The duration of follow-up was from 3 to 12 months. The complications were observed. Results The surgical procedures for all 18 patients were successfully completed. No open surgery or deliberately intraoperative opening bladder for fistula was required. The operation time was (125±31) min. The blood loss was (65±24) ml. During the period of follow-up for (8±4) months, all patients weren't found urine leakage or complications such as urinary frequency. Conclusion Laparoscopic repairment assisted by cystoscopy of VVF has the advantages of less bleeding, less damage, rapid recovery, high success rate, can make the operation be simple, is a safe and effective method for the treatment of vesicovaginal fistula. Key words: Vesicovaginal fistula; Laparoscopy; Cystoscopy; Fistula