Vesicovaginal fistula is a serious urological problem that occurs when an abnormal connection forms between the bladder and the vagina, causing involuntary leakage of urine from the vagina. This can significantly affect the patient's daily quality of life, social life and psychological state.
Vesicovaginal fistulas most often develop after previous gynecological or pelvic surgeries, but can also occur due to birth trauma, radiotherapy or infections. The primary approach to treatment is surgery, and laparoscopic methods may be preferred in suitable patients.
Diagnosing vesicovaginal fistula involves evaluating the patient's history, clinical examination findings and imaging methods together. Endoscopic examinations and special tests clarify the fistula's location, size and relationship to surrounding tissue.
This evaluation is very important in determining the timing of surgical repair and the method to be used.
Laparoscopic surgery can be applied in selected cases as a minimally invasive and effective method for treating vesicovaginal fistulas. In this method, the fistula tract is repaired through small surgical incisions and the abnormal connection between the bladder and vagina is eliminated.
The laparoscopic approach can offer advantages such as better surgical visibility, preservation of surrounding tissue and a faster recovery. With proper patient selection, lasting and successful results are the aim.
After surgical treatment, patients are followed up regularly. Urinary control, the recovery process and possible complications are closely monitored. Additional supportive treatments may be planned if needed.
The goal of the treatment process is to resolve the urinary incontinence problem, permanently repair the fistula and restore the patient's quality of life.
