ABSTRACT Introduction: Vesicovaginal fistula (VVF) has been a social and surgical problem since ages. Many surgical techniques have been developed to rectify this problem, viz ., transabdominal and transvaginal route. And efforts have been made for making these techniques minimally invasive via laparoscopic and robotic means without compromising the results. In the same continuity of miniaturization of surgical techniques, we report our results of endoscopic transurethral repair (EUR) of VVF. Materials and Methods: Patients with uncomplicated small-sized VVF were operated by the endoscopic transurethral route under general/regional anesthesia by two steps. 1. Peri fistula dissection using Collin’s knife of 22 Fr resectoscope making proper raw area and space for suturing. 2. Suturing performed per urethrally by utilizing vision with either compact cystoscope (14Fr)RW or uniportal spine endoscope and thin laparoscopic needle holder (3 mm) with Vicyrl 3–0/barb 3–0 suture. Results: A total of seven patients were operated, and five had successful outcomes. Two patients failed. In one patient, mucosal discontinuity and creation of raw area were not done before suturing. The second failure was due to poor vascularity of tissues, as evident at the time of suturing, and the patient has a history of one failed abdominal repair. The mean age of patients was 35 years. The mean operative time was 96 min. Hospital stay was 2–3 days for all patients. Conclusion: EUR of VVF is safe, feasible, minimal invasive option in selected cases with comparable success rate.
Husain et al. (Thu,) studied this question.