Vesicovaginal fistula (VVF) is a subtype of female urogenital fistula (UGF). VVF is an abnormal fistulous tract extending between the bladder and the vagina that allows the continuous involuntary discharge of urine into the vaginal vault. In addition to the medical sequelae from these fistulas, they often have a profound effect on the patient's emotional well-being. This article reviews the etiology of VVF, the surgical principles of repair, and the techniques developed for their repair. Laparoscopic repair of vesicovaginal fistulas has gained widespread acceptance even after owing to its technical difficulty. We describe a minimally invasive laparoscopic approach using the conventional laparoscopy and DaVinci robotic system to repair a vesicovaginal fistula.
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