COMPLEX VESICO-VAGINAL FISTULA REPAIR WITH POSTEROSUPERIOR BLADDER FLAP
ENRIQUE RIJO, OSCAR BIELSA, J.A. LORENTE, J.M. GIL-VERNET, LLUÍS FUMADÓ, ALBERT FRANCÉS, OCTAVIO ARANGO
Department of Urology, Hospital del Mar, Barcelona - Universitat Autonòma de Barcelona, Spain
Introduction: Vesicovaginal fistulae (VVF) remain one of the most challenging problems in modern female urology.
Int Braz J Urol. 2011; 37 (Video #6): 802_3
In the video by Rijo et al., the authors highlight a specific procedure (Gil-Vernet Technique) for the repair of a vesicovaginal fistula (VVF) within a single institution case series. VVF is a subtype of female urogenital fistula (UGF) in which an abnormal fistulous tract extends between the bladder and the vagina with the continuous involuntary discharge of urine into the vaginal vault. In addition to the potential medical sequelae of such fistulas, they often have a profound effect on the patient's emotional well-being and quality of life. Hence, VVF's pose a significant source of morbidity for affected women, highlighting the importance of managing this pathology using a highly successful and ideally minimally invasive technique. Techniques used to repair VVF have been well described within the peer reviewed scientific literature and the current video focuses on a contemporary approach. The authors submit a video pertaining to one of their cases treated in this fashion. The video is comprehensive and highlights the major pivotal points critical in a successful repair. This video nicely depicts how this surgical procedure can be conducted with successful correction of the underlying pathology.
Dr. Rafael E. Carrion