V1-06: TRANSURETHRAL REPAIR OF VESICO – VAGINAL FISULA, A NOVEL TECHNIQUE

V1-06: TRANSURETHRAL REPAIR OF VESICO – VAGINAL FISULA, A NOVEL TECHNIQUE

Video

Introductions and Objectives
Our Objective is to demonstrate a new technique for Vesico Vaginal Fistula Repair, trans urethrally. This due to the difficult that implies the Access through the abdominal or vaginal approach sometimes.

Methods
The case is from 48 year old Lady whom was diagnosed with a metastatic ovarian tumor to the Peritoneum in 2010. She was taken to surgery and a Sugarbaker procedure was performed, with development of multiple complications among enterocutaneous fistulas, and was managed with open abdominal wall. 2 months after the surgery the patient complains of Urinary Incontinence, and a Vesico Vaginal Fistula was diagnosed, which initially was managed with a urethral catheter but incontinence persisted and the Cystourethrogram confirmed the persistence of the fistula.

Results
The case is from 48 year old Lady whom was diagnosed with a metastatic ovarian tumor to the Peritoneum in 2010. She was taken to surgery and a Sugarbaker procedure was performed, with development of multiple complications among enterocutaneous fistulas, and was managed with open abdominal wall. 2 months after the surgery the patient complains of Urinary Incontinence, and a Vesico Vaginal Fistula was diagnosed, which initially was managed with a urethral catheter but incontinence persisted and the Cystourethrogram confirmed the persistence of the fistula.

Conclusions
With the use of new technics it is possible to correct trans urethrally some fistulas without the need to open bladder or perform trans abdominal surgery, achieving good results. New instruments should be developed in order to make this approach more feasible and results reproducible.

Funding: none