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

Olivia Cardenas-Trowers, John Heusinkveld, Kenneth D Hatch

Research output: Contribution to journalArticle

1 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1-3
Number of pages3
JournalInternational Urogynecology Journal
DOIs
StateAccepted/In press - Sep 7 2017

Keywords

  • Fistula surgery
  • Latzko
  • Surgical technique
  • Vesicovaginal fistula

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

Fingerprint Dive into the research topics of 'Simple and effective: transvaginal vesico-vaginal fistula repair with a modified Latzko technique'. Together they form a unique fingerprint.

  • Cite this