International Neurourology Journal 2010;14:65-68 Vesicovaginal Fistula Repair Using a Transurethral Pointed Electrode Hye-Min Hong, Jea-Whan Lee, Dong-Youp Han, Hee-Jong Jeong   Department of Urology, Wonkwang University School of Medicine, Iksan, Korea This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons. org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

International Neurourology Journal 2010;14:65-68 The most common cause of vesicovaginal fistulasis injury to the bladder at the bladder at the time of surgery. The operation most frequently responsible for vesicovaginal fistula formation is hysterectomy. The first successful transvaginal approach to vesicovaginal fistula repair was reported by Sims in 1838.

International Neurourology Journal 2010;14:65-68 Although many surgical procedures exist, there is no best approach for all patients with vesicovaginal fistula. However, it is an essential surgical principle that the fistuolous tract and scar should be excised completely. Here we report our technique using a transurethral pointed electrode for the treatment of multiple, small vesicovaginal fistulas and its outcome.

International Neurourology Journal 2010;14:65-68 Fig. 1

International Neurourology Journal 2010;14:65-68 Fig. 2

International Neurourology Journal 2010;14:65-68 Figure Legends Fig. 1. Vesicovaginal fistulas were seen between the right ureteral orifice and the bladder neck. The dotted line is the incision line Fig. 2. After excision of a vesicovaginal fistula using a transurethral pointed electrode. BN: Bladder neck B-Bladder, RUO: Right ureteral orifice. LUO: Left ureteral orifice VS: Vaginal stump, PVW: Posterior vaginal wall