Archives of Gynecology and Obstetrics

, Volume 273, Issue 6, pp 378–380 | Cite as

Transvaginal repair of a vesico-vaginal fistula using a mobilised vaginal flap to form the bladder base: a case report

  • J.B. Sharma
  • A. Seth
  • S. Mittal
Case Report


We describe a case of a vesico-vaginal fistula in a 32-year-old lady presenting with true urinary incontinence. There was a 1.5×1.5 cm deficit in the bladder wall and the left ureteric orifice was very close to the edge of the defect. For a successful transvaginal repair, we used a mobilized vaginal flap to bridge the defect in the bladder wall. This avoided the mobilization of the bladder wall and also prevented the left ureteric orifice from getting entrapped in the suture line. Adjacent wall of vagina was mobilized and stitched over the first layer to achieve water tight repair. Her post operative period was uneventful. The repair healed well and she was discharged in a good condition.


Vesico-vaginal fistula Vaginal wall flap Fistula repair Transvaginal approach 


  1. 1.
    Akman RY, Sargin S, Ozdemir G (1999) Vesicovaginal and uretero vaginal fistulas: a review. Int Urol Nephrol 31:321–326PubMedCrossRefGoogle Scholar
  2. 2.
    Goodwin WE, Scardino PT (1980) Vesicovaginal and ureterovaginal fistulas: a summary of 25 years of experience. J Urol 123:370–374PubMedGoogle Scholar
  3. 3.
    Demirel A, Polat O, Bayraktar Y (1993) Transvesical and transvaginal reparation in urinary fistulas. Int Urol Nephrol 25:439–444PubMedGoogle Scholar
  4. 4.
    Elkins TE (1997) Fistula surgery: past, present and future directions. Int Urogynecol J Pelvic Floor Dysfunct 8:30–35PubMedCrossRefGoogle Scholar
  5. 5.
    Nesrallah LJ, Srougi M, Gittes RF (1999) The O’Conor technique: the gold standard for supratrigonal vesicovaginal fistula repair. J Urol 161:566–568PubMedCrossRefGoogle Scholar
  6. 6.
    Morita T, Tokue A (1999) Successful endoscopic closure of radiation induced vesicovaginal fistula with fibrin glue and bovine collagen. J Urol 162:1689–1690PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  1. 1.Department of Obstetrics and Gynaecology and Urology All India Institute of Medical SciencesNew DelhiIndia
  2. 2.Azad ApartmentsNew DelhiIndia

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