Method of lateral suturing of large vesicovaginal fistulas

Since the main reason for failures with plastic methods is the direct action of urine on the suture line, Dr. side, up and to the side, where urine cannot reach with a catheter à demeure. The technique is briefly as follows: there is no need to stretch the cervix, you can successfully operate in depth. The edges of the fistula are cut obliquely throughout. Then, capturing the refreshed edge of one side of the vaginal wall with the coher, the entire thickness of the vaginal wall is separated from the entire thickness of the bladder wall to the exposure of the soft tissues of the thigh. The same is done on the other side. As a result, 4 mobilized flaps are obtained, each of which consists separately of the cystic and separately of the vaginal wall, separated from each other. Both refreshed edges of the cystic wall are sutured to the soft tissues of the thigh. After the cystic walls are sewn to the side wall, the vaginal wall is sutured.