Laparoscopic transperitoneal extravesical approach to vesicovaginal fistula repair without omental flap: a novel technique

The O'Connor bladder bivalving technique remains the traditional abdominal approach to vesicovaginal fistula repair whether performed via laparotomy or laparoscopy. This video depicts a new surgical technique utilizing a laparoscopic transperitoneal extravesical approach without invasive bladder bivalving or an omental flap. This technique was first described in 1999 and has been utilized on > 40 patients with either primary or recurrent vesicovaginal fistulas. A 98% success rate is reported. This alternative technique can be performed using either a laparoscopy or the traditional laparotomy approach.