case_images: PMC6026928_01
case_images: Cystoscopic appearance of small vesicovaginal fistula (arrows).
case_images: fig-1.jpg
case_images: PMC6026928_01_fig-1.jpg
case_images: f1
case_images: The VVF was identified with a cystoscope using insufflation of gas and it was verified by a guidewire (Fig. 1).
case_images: Port placement for transvesicoscopic sealing of fistula tract.
case_images: fig-2.jpg
case_images: PMC6026928_01_fig-2.jpg
case_images: f2
case_images: The second 5-mm port was placed into the bladder laterally at the midline and inferior to the first port (Fig. 2).
case_images: Sealing the fistula tract with the bipolar sealer.
case_images: fig-3.jpg
case_images: PMC6026928_01_fig-3.jpg
case_images: f3
case_images: The fistula tract was grasped and sealed by an EBVS (LigaSure  5 mm blunt tip 37 cm sealer; Medtronic, Inc., Dublin, Ireland) (Fig. 3).
case_images: Postoperative cystoscopic appearance of the sealed vesicovaginal fistula.
case_images: fig-4.jpg
case_images: PMC6026928_01_fig-4.jpg
case_images: f4
case_images: The patient was instructed to return to our office 3 weeks after surgery for urethral Foley catheter removal and subsequent cystoscopic and vaginal inspection to confirm VVF repair (Fig. 4).