Clinical Application of Combined Cystoscopy and Laparoscopy for Vesicovaginal Fistula Repair in a Single Position: Six Cases Report and Experience

Objective: To evaluate the clinical efficacy of combined cystoscopy and laparoscopy for vesicovaginal fistula repair in a single position. Methods: A retrospective analysis was conducted on the clinical data of 6 patients with vesicovaginal fistula treated in the Department of Urology, The First Affiliated Hospital of Jinan University from August 2017 to November 2023. All patients underwent a single-position cystoscopy combined with laparoscopic vesicovaginal fistula repair. Intraoperatively, the fistula was localized transurethrally via cystoscopy, and place ureteral stents. Simultaneously, laparoscopic repair of the fistula was performed via abdominal approach. Recording Surgical duration, intraoperative blood loss, length of hospital stay, intraoperative complications and postoperative complications. Results: All 6 patients underwent successful repair without conversion to open surgery. Operative time was 263.5±49.6 min, intraoperative blood loss was 35.0±20.7 ml, hospital stay was 15.5±5.4 days. At follow-up ranging from 3 to 12 months, no patients developed complications such as urinary leakage, and postoperative quality of life showed significant improvement. Conclusion: Combined cystoscopy and laparoscopy for vesicovaginal fistula repair in a single position avoids multiple repositioning, offering advantages such as simplified technique, short operative time, minimal trauma, and reducedloss blood. This approach represents a safe and effective therapeutic modality.