You have accessJournal of UrologyFemale Pelvic Medicine & Reconstructive Surgery1 Apr 2014V1-06 TRANSURETHRAL REPAIR OF VESICO – VAGINAL FISULA, A NOVEL TECHNIQUE Manuel Duque, Juan Gabriel De Los Rios, and Jose Ismanel Zuniga Manuel DuqueManuel Duque More articles by this author , Juan Gabriel De Los RiosJuan Gabriel De Los Rios More articles by this author , and Jose Ismanel ZunigaJose Ismanel Zuniga More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.600AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION 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. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e293 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Manuel Duque More articles by this author Juan Gabriel De Los Rios More articles by this author Jose Ismanel Zuniga More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...