Abdominal Approach to Vesicovaginal Fistula

Elishia McKay, Kara Watts, Nitya Abraham

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations


Principles of abdominal vesicovaginal fistula (VVF) repair include good exposure of the fistulous tract, double-layer bladder closure, retrograde fill of the bladder to ensure a water-tight seal, tension-free closure and continuous postoperative bladder drainage. Minimally invasive approaches, particularly robot-assisted laparoscopy, have demonstrated shorter operative times, decreased blood loss, improved visibility, and similar cure rates without increased adverse events. These techniques are therefore rising in popularity among surgeons. Ultimately, surgical approach to VVF repair depends upon the individual characteristics of the patient and fistula, as well as the preference and experience of the surgeon.

Original languageEnglish (US)
Pages (from-to)135-146
Number of pages12
JournalUrologic Clinics of North America
Issue number1
StatePublished - Feb 2019


  • Laparoscopy
  • Operative
  • Robotics
  • Surgical procedures
  • Urinary bladder fistula
  • Vaginal fistula
  • Vesicovaginal fistula

ASJC Scopus subject areas

  • Urology


Dive into the research topics of 'Abdominal Approach to Vesicovaginal Fistula'. Together they form a unique fingerprint.

Cite this