2010 Annual Meeting-Biologic Grafted Repair of Urethrovaginal Fistula and Conconmitant Synthetic Sling

Biologic Grafted Repair of Urethrovaginal Fistula and Conconmitant Synthetic Sling

Video Transcription

Video Summary

The video discusses the procedure and technique for repairing urethral vaginal fistulas using a biologic graft and concomitant synthetic sling. The patient in the case is a 66-year-old who had continuous urine loss since a diverticulectomy performed 10 years prior. The fistula is confirmed by cystoscopy and urodynamic testing, and the location is identified using sister urethroscopy and a lacrimal duct probe. The procedure involves mobilizing the periurethral tissue, closing the fistula tract with interrupted sutures, and placing a bovine pericardium graft to cover the repair. A trans-opterator sling is then performed to address stress incontinence. The graft is secured with additional sutures, and the procedure is completed by closing the vaginal incision. The results of this technique have been successful in seven patients, with no complaints of incontinence.

Keywords

urethral vaginal fistulas

biologic graft

synthetic sling

diverticulectomy

stress incontinence