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- W4213166302 abstract "To describe a transvaginal approach to vesicocervical fistula repair and techniques that may improve visualization and access. Urogenital fistulas are abnormal communications between the urinary and reproductive tract. Vesicocervical fistulas are rare and few case reports or series describe surgical repair. We present the case of a 26-year-old G1P1 who presented with watery vaginal discharge following low transverse cesarean section. She had a severely torn anterior cervical lip with minimal remaining stroma. CT urogram was concerning for a 1.4 cm fistulous tract. Cystoscopy and vaginoscopy were performed with confirmation of a fistula 5.0 cm proximal to the bladder neck with communication into the cervix. The patient desired fertility preservation. Generally, an abdominal approach is chosen for proximal fistulas as it is presumed to provide increased visualization and fistula access. In this video, we describe our approach to a vaginal repair of a vesicocervical fistula including key steps that improve the ability to complete the repair vaginally. We feel our strategies may help women with this rare fistula avoid the morbidity of an abdominal surgery. Successful vaginal repair of vesicovaginal fistulas can be facilitated by strategies to improve access." @default.
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- W4213166302 date "2022-03-01" @default.
- W4213166302 modified "2023-10-14" @default.
- W4213166302 title "Transvaginal approach to vesicocervical fistula repair" @default.
- W4213166302 doi "https://doi.org/10.1016/j.ajog.2021.12.186" @default.
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