This type of fistula secondary to bladder injury during surgery or secondary necrosis extensive dissection.
Cystoscopy can appreciate the position of the fistula and its relationship with the bladder neck, trigone and ureters.
The principle of the surgery is to separate the vagina and bladder walls and suture separately without traction. The fistula is usually excised. Transvesical way: is to open the bladder and repair the fistula by intravesical route. It is indicated when the fistula is high.
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