case_images: PMC8118741_01
case_images: Fistula tract visualized by rigid cystourethroscopy in the urinary bladder.
case_images: CRIU2021-8865146.001.jpg
case_images: PMC8118741_01_CRIU2021-8865146.001.jpg
case_images: fig1
case_images: The procedure showed a fistula tract on the anterior vaginal wall extending medially into the bladder just posterior to the trigone (Figure 1).
case_images: Ureteral catheters (yellow) retracted away from the operative field. A 10F Foley catheter was shown exiting the fistula tract along the anterior vaginal wall just inferior to the metal retractor.
case_images: CRIU2021-8865146.002.jpg
case_images: PMC8118741_01_CRIU2021-8865146.002.jpg
case_images: fig2
case_images: The setup was completed and we moved forward with the fistula repair (Figure 2).
case_images: Biologic graft made of human cadaveric dermis placed over the fistula tract using allis clamps.
case_images: CRIU2021-8865146.003.jpg
case_images: PMC8118741_01_CRIU2021-8865146.003.jpg
case_images: fig3
case_images: With the 3-0 Vicryl on a UR6, we placed the dermis in a quilted fashion overlying the repair (Figure 3).
case_images: Completed fistula repair using colpocleisis to obliterate the vaginal opening.
case_images: CRIU2021-8865146.004.jpg
case_images: PMC8118741_01_CRIU2021-8865146.004.jpg
case_images: fig4
case_images: We concluded by trimming and closing the vaginal mucosa, thereby finishing the colpocleisis to provide the extra layer of support (Figure 4).