Objective: To evaluate the surgical outcomes, complication rates, and patient-reported results of the modified Latzko technique for management of supratrigonal vesicovaginal fistulas due to hysterectomy.Methods: This retrospective study included 25 consecutive patients with supratrigonal vesicovaginal fistulas who underwent hysterectomy between January 2022 and August 2025. All the patients underwent transvaginal repair using the modified Latzko technique. Surgical success was defined as complete resolution of urinary leakage. Patient satisfaction was assessed using the Patient Global Impression of Change scale.Results: The median patient age was 46 years old. The median interval between symptom onset and repair was seven months, and the median fistula size was 10 mm. The median operative time was 120 minutes. A Martius flap was used in four patients (16.0%). After a median follow-up period of 19 months, the primary surgical success rate was 92.0% (23/25). According to the patient global impression of change scale, 92.0% of patients reported much or very much improvement.Conclusion: The modified Latzko technique provided high success rates, low morbidity, and excellent patient satisfaction for hysterectomy-related supratrigonal vesicovaginal fistulas. Therefore, it should be considered a first-line option for appropriately selected cases.
Savun et al. (Sun,) studied this question.