Laparoscopic fistula repair with concurrent Pectopexy: A case report

Abstract

This is the first report of a combined laparoscopic Pectopexy and vesicovaginal fistula repair. A 77 year-old woman developed persistent leakage of urine after surgical removal of an impacted pessary, and a vesicovaginal fistula was diagnosed. The fistula was inaccessible through the vagina due to stenosis of the upper vagina resulting from the impacted pessary, so a laparoscopic repair was performed together with a Pectopexy to eliminate the patient’s residual prolapse symptoms. Careful consideration was given to the decision to perform a fistula repair together with a mesh suspension procedure, which included a review of the relevant medical literature as well as our own practice data. The combined operation resulted in relief of both fistula and prolapse symptoms.