Laparoscopic Management of Complex Bladder Issues: Cervico-Vesical Fistula & Bladder Endometriosis

Abstract

Now Laparoscopy offers the opportunity to efficiently perform complex procedures like a vesico-cervical fistula repair and Bladder endometriosis excision through a minimally-invasive technique offering all the advantages of Minimalli Invasive Techniques. First case is of Second para patient, with one LSCS and symptoms of cyclical hematuria and intermittent involuntary leakage of urine. On cystogram and pelvic MRI small fistulous communicating tract between anterior cervix and bladder dome was identified. After cystoscpopic and hysteroscopic confirmation Laparoscopic excision of the fistula tract was performed. It was followed by closure of the bladder and cervical defect. Similarly in our second case of a third para patient with previous three C- Section and cyclical hematuria, Bladder endometriosis was diagnosed and laparoscopic complete lesion excision followed by closure of defect, successfully performed laparoscopically.