2025 AUGS Clinical Meeting-Video Presentation of Transvaginal Repair of Recurrent Vesico-Vaginal Fistula

Video Presentation of Transvaginal Repair of Recurrent Vesico-Vaginal Fistula

Video Transcription

Video Summary

In this presentation, Dr. Fikada Ienichu, a urogynecologist and assistant professor in Ethiopia, discusses the principles and techniques involved in the surgical repair of vesico-vaginal fistulas (VVFs). Highlighting his role in capacity building across Africa, Dr. Ienichu trains and mentors new urogynecologists and emphasizes the growing prevalence of atherogenic fistulas in some regions. Key surgical principles include optimal tissue mobilization, ensuring ureter safety, and achieving tension-free and watertight closures. Dr. Ienichu also discusses the value of using flaps and grafts, such as peritoneal flaps, to promote healing and reduce complications.<br /><br />The presentation includes a surgical demonstration on a 30-year-old woman with a VVF following a hysterectomy. The detailed surgical process involves mobilization of the bladder and vaginal tissues, repair techniques, and the application of a peritoneal flap to enhance healing. The emphasis is on meticulously executing the repair to prevent recurrence or complications. After successful surgery, the procedure was positively acknowledged in a discussion where Dr. Ienichu fielded questions about surgical challenges and solutions, underscoring the educational value of the session.

Asset Subtitle

Speakers:

Fekade Ayenachew Aklilu, MD
Holly E. Richter, PhD, MD, FACOG, FACS

Keywords

vesico-vaginal fistula

urogynecologist

surgical repair

capacity building

peritoneal flaps

atherogenic fistulas

Ethiopia