case_images: PMC6556310_01
case_images: Cystoscopy performed before surgery. A: left ureteral meatus; B: fistulous orifice.
case_images: CRIU2019-2845237.001.jpg
case_images: PMC6556310_01_CRIU2019-2845237.001.jpg
case_images: fig1
case_images: Cystoscopy was then performed and revealed a 3mm diameter infratrigonal fistulous lesion, right under the left meatus (Figure 1).
case_images: Transperitoneal view of open bladder: a white ureteral catheter positioned through urethra into left ureteral meatus.
case_images: CRIU2019-2845237.002.jpg
case_images: PMC6556310_01_CRIU2019-2845237.002.jpg
case_images: fig2
case_images: With the bladder well dissected, a transversal cystotomy was performed, to expose the vesical side of the fistula (Figures 2 and 3).
case_images: Fistula identification: in the transperitoneal view infratrigonal fistula is identified above the ureteral meatus.
case_images: CRIU2019-2845237.003.jpg
case_images: PMC6556310_01_CRIU2019-2845237.003.jpg
case_images: fig3
case_images: With the bladder well dissected, a transversal cystotomy was performed, to expose the vesical side of the fistula (Figures 2 and 3).
case_images: Fistula dissection is performed by separating vaginal and bladder sides.
case_images: CRIU2019-2845237.004.jpg
case_images: PMC6556310_01_CRIU2019-2845237.004.jpg
case_images: fig4
case_images: The fistula was dissected with a good margin of healthy tissue until vaginal side (Figure 4).
case_images: Vaginal side sutured by 3-0 barbed suture in 2 layers.
case_images: CRIU2019-2845237.005.jpg
case_images: PMC6556310_01_CRIU2019-2845237.005.jpg
case_images: fig5
case_images: The vesical side was closed in 2 layers, using the same suture (Figure 5).
case_images: Final appearance of the treated fistula after suture of bladder.
case_images: CRIU2019-2845237.006.jpg
case_images: PMC6556310_01_CRIU2019-2845237.006.jpg
case_images: fig6
case_images: In the end of procedure, a 4.7mm ureteral stent and an 18Fr bladder catheter were placed (Figure 6).