Natural Orifice Transurethral Endoscopic Vesicovaginal Fistula (NOTE-VVF) Treatment for Early and Small Fistulas: Case Report and the Point of Technique


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DEMİRTAŞ A., SÖNMEZ G., TOMBUL Ş. T., GÖLBAŞI A., DEMİRTAŞ T.

CUREUS JOURNAL OF MEDICAL SCIENCE, vol.14, no.4, 2022 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 14 Issue: 4
  • Publication Date: 2022
  • Doi Number: 10.7759/cureus.23786
  • Journal Name: CUREUS JOURNAL OF MEDICAL SCIENCE
  • Journal Indexes: Emerging Sources Citation Index (ESCI)
  • Keywords: natural orifice, transurethral, endoscopic, laparoscopic, vesicovaginal fistula
  • Erciyes University Affiliated: Yes

Abstract

Minimally invasive surgical approaches have become highly popular in line with technological advancements. In vesicovaginal fistula (VVF) repair, numerous minimally invasive surgical techniques have been described, namely, laparoscopic, robotic, and transvaginal techniques, and used. However, these techniques still require invasiveness. In this report, we present a patient with iatrogenic VVF on whom we applied a novel "zero-incision" technique, Natural Orifice Transurethral Endoscopic Vesicovaginal Fistula (NOTE-VVF) treatment, to repair the fistula tract by advancing the laparoscopic trocar through a natural orifice, i.e., urethra.