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ArticleInternational urology and nephrology2025

Preliminary experience with minimally invasive transvaginal single-port laparoscopic vesicovaginal fistula repair: report of 10 cases.

Qi Zeng, Xin Chang Zou, Bin Wang, Hai Chao Chao, Jian Biao Huang

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Article in International urology and nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Qi ZengQueen Mary University of London, Nanchang University, Nanchang, 330008, JiangXi, China.
Xin Chang ZouThe Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330008, China.
Bin WangThe Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330008, China.
Hai Chao ChaoDepartment of Urology, Second Affiliated Hospital of Nanchang University, Nanchang, 330008,, China.
Jian Biao HuangJiangxi Clinical Research Center for Cancer, Jiangxi Cancer Hospital & Institute, The Second Affiliated Hospital of Nanchang Medical College, Nanchang, 330008, China. 1292238757@qq.com.

Funding

Clinical research project of the Second Affiliated Hospital of Nanchang University 2021efyC10Jiangxi Provincial academic and technical leaders training program 20225BCJ22009National Natural Science Foundation of China 82260598
6 · The paper itself

Abstract

background and purposeAs a common complication following genitourinary trauma, the methods and approaches for repairing vesicovaginal fistulas (VVF) remain controversial. Minimally invasive techniques, such as laparoscopy, are gaining widespread attention. This study summarizes our surgical experiences and postoperative management regarding transvaginal single-port laparoscopic repair of vesicovaginal fistulas. PATIENTS AND

methodsWe retrospectively analyzed the clinical data of 10 transvaginal single-port laparoscopic vesicovaginal fistula repairs performed in the Department of Urology at the Second Affiliated Hospital of Nanchang University from September 2022 to August 2023. All patients had complex vesicovaginal fistulas that had been treated poorly by multiple surgeries. This analysis included the causes of the fistulas, perioperative care, and efficacy. We recorded the operation time, intraoperative blood loss, and length of hospital stay, and we analyzed and summarized the surgical methods and treatment outcomes. Patients were followed up for 12 months post-surgery to assess urinary leakage and changes in their quality of life.

resultsAmong the 10 patients, the average age was 58 ± 4.10 years. All surgeries were successfully completed. The average operation time was 96 ± 15 min, with an average postoperative hospital stay of 5.70 ± 0.64 days. The urethral catheter was removed after 2 weeks of follow-up, and no patients experienced complications such as bleeding, urinary leakage, or infection. One month post-operation, both the cystomelan infusion test and cystography indicated no presence of a fistula or residual fistula tract. Follow-up cystoscopy conducted 3 months after the surgery showed that the fistula had completely healed, demonstrating remarkable surgical outcomes. One year after the surgery, the patients were asymptomatic and showed no signs of recurrence.

conclusionTransvaginal single-port laparoscopic vesicovaginal fistula repair is safe and effective in treating complex vesicovaginal fistula, while retaining bladder function to the greatest extent, and is worthy of clinical promotion and application.

Indexed as

LaparoscopyNatural Orifice Endoscopic SurgeryVaginaVesicovaginal FistulaBlood Loss, SurgicalFemaleFollow-Up StudiesHumansLength of StayMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesTreatment OutcomeComplex vesicovaginal fistulaSingle-port laparoscopic

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.