2010 Annual Meeting-Urethrovaginal Fistula Repair with Concomitant Rectus Fascia Pubovaginal Sling

Urethrovaginal Fistula Repair with Concomitant Rectus Fascia Pubovaginal Sling

Video Transcription

Video Summary

In this video, a urethral vaginal fistula repair and autologous rectus fascia pubovaginal sling are demonstrated. The procedure is performed on a 52-year-old woman who has previously undergone a urethral diverticulectomy. The patient presented with stress and insensible incontinence, and a fistula was found at the mid urethra and urethral meatus. The rectus fascia is harvested through a 3 cm incision on the lower abdomen and used to create a sling. The vaginal area is then addressed, with hydrodissection and an incision to expose the bladder neck. The fistula is repaired using sutures, and the sling is secured to the perivescal and periurethral fascia. The procedure offers a solution for both the fistula and urinary incontinence. No credits are mentioned in the transcript.

Keywords

urethral vaginal fistula repair

autologous rectus fascia pubovaginal sling

urethral diverticulectomy

stress and insensible incontinence

bladder neck exposure