Simple and effective: transvaginal vesico-vaginal fistula repair with a modified Latzko technique

Olivia Cardenas-Trowers, John Heusinkveld, Kenneth Hatch

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Introduction and hypothesis: The incidence of vesico-vaginal fistulas after hysterectomies for benign indications in developed countries is less than one percent. The objective of this video is to demonstrate an easy-to-follow, step-by-step approach to repairing a small, uncomplicated vesico-vaginal fistula transvaginally using a modified Latzko technique. Methods: In this video, we present a case of a 46-year-old woman who developed a simple, uncomplicated vesico-vaginal fistula after a total abdominal hysterectomy. To correct her fistula, we used a modified Latzko technique, which is a transvaginal approach to vesico-vaginal fistula repair that involves mobilizing the vaginal mucosa around the fistula and then closing the pubo-vesical fascia and vaginal mucosa in layers. Results: The patient had successful surgical correction of her vesico-vaginal fistula without recurrence of the fistula. Conclusions: For small, uncomplicated vesico-vaginal fistulas, a transvaginal approach has an equivalent success rate to that of other approaches with less invasiveness and faster recovery times. Therefore, it is reasonable to use a modified Latzko technique to help restore the quality of life to women affected by small, uncomplicated vesico-vaginal fistulas.

Original languageEnglish (US)
Pages (from-to)767-769
Number of pages3
JournalInternational Urogynecology Journal
Issue number5
StatePublished - May 1 2018


  • Fistula surgery
  • Latzko
  • Surgical technique
  • Vesicovaginal fistula

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology


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