A case report on β-electrode combined with laparoscopy in vesicovaginal fistula repair and review of the literature
10.3760/cma.j.cn115396-20251016-00256
- VernacularTitle:β刀经尿道联合腹腔镜膀胱阴道瘘修复一例报道并文献复习
- Author:
Shuang HUANG
1
;
Yingna HU
;
Shun GUO
;
Jianwen FU
;
Song WANG
;
Shengkun SUN
Author Information
1. 解放军总医院泌尿外科医学部，北京 100853
- Keywords:
Vesicovaginal fistula;
Laparoscopy;
β-electrode;
Plasma needle shape electrode;
Repair
- From:
International Journal of Surgery
2025;52(10):662-664
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the technique methods and clinical application value of β-electrode (a plasma needle shape electrode) assisted laparoscopic repair of complex vesicovaginal fistula (VVF).Methods:Clinical data of one patient with complex VVF admitted to Chinese PLA General Hospital in April 2025 was retrospectively analyzed. A 36-year-old female presented with urinary leakage 2 months after hysterectomy. Computed tomography urography excluded ureterovaginal fistula. Cystoscopy revealed a 2 cm fistula on the posterior bladder wall with both ureteral orifices adjacent to the fistula edge. The procedure involved two steps: first, transurethral β-electrode pretreatment was performed to protect the ureteral orifices and create a passage from the bladder to the abdominal cavity. Then, laparoscopic separation, suture closure of the fistula, and omental flap coverage were conducted.Results:Total operation time was 180 min (the time of β- electrode operation was 30 min) with intraoperative estimated blood loss of 50 mL. The catheter was removed 3 weeks postoperatively, and the patient voided well without leakage during 4-month follow-up.Conclusions:β- electrode assisted laparoscopic repair of complex VVF have the advantage of precise manipulation, minimal invasion and rapid recovery. No similar technique have been reported domestically or internationally. This technique provides a new approach for the treatment of complex VVF.
