Post-cesarean cervicovesical fistula: technique of laparoscopic repair.

Abstract

We describe the technique of laparoscopic repair of post-cesarean cervicovesical fistula. Two patients 30 and 35 years old, respectively, presented with urinary incontinence, amenorrhea and menouria. Both patients had undergone previously a second cesarean section. Diagnosis was post-cesarean cervicovesical fistula, which was repaired laparoscopically. Laparoscopic repair was successfully completed in 1 patient. In the other case, after complete dissection of the fistula and preparation of the edges for suturing, surgery had to be converted to an open procedure due to inability to maintain a pneumoperitoneum. Laparoscopy is a viable option for the repair of post-cesarean cervicovesical fistula with all its attendant advantages.