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Transvaginal repair of vesicouterine fistulae: our experience of three cases


Introduction and hypothesis

Surgical repair of vesicouterine fistula (VUF) can be performed through transvaginal and transabdominal routes. Transvaginal repair of VUF has been rarely reported. This study is aimed at demonstrating the feasibility and experience of transvaginal repair of VUF, and presents a step-by-step concrete surgical technique.


We presented a video of a 36-year-old woman who developed VUF after a second cesarean section. The patient underwent a transvaginal surgical repair in the prone jackknife position. We also presented the clinical data of another two patients with VUF, and summarized the experience of all three patients in whom the same technique was performed.


The operative times of the three patients were 120, 200, and 180 min respectively. No surgical complications were observed. After a follow-up of 2–3.5 years, none of the patients had vaginal leakage.


Transvaginal repair of VUF in the prone jackknife position is a feasible and effective procedure for restoring the anatomy. However, there is still a need for well-designed studies with a large number of patients to identify the most promising approach.

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Author information




Mingxin Cao: project development, manuscript writing; Junlong Zhang: data collection, manuscript writing; Yu Chen: manuscript revision; Yueyou Liang: project development, manuscript revision.

Corresponding author

Correspondence to Yueyou Liang.

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Cao, M., Zhang, J., Chen, Y. et al. Transvaginal repair of vesicouterine fistulae: our experience of three cases. Int Urogynecol J (2021).

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  • Patient positioning
  • Vaginal repair
  • Vesicouterine fistula
  • Video