Combined vaginoscopy-cystoscopy: A novel simultaneous approach improving vesicovaginal fistula evaluation

Combined vaginoscopy-cystoscopy: A novel simultaneous approach improving vesicovaginal fistula evaluation

Author Andreoni, C. Google Scholar
Bruschini, H. Google Scholar
Truzzi, J. C. Google Scholar
Simonetti, R. Google Scholar
Srougi, M. Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Purpose: Using a device that permits simultaneous viewing on the same display (picture in picture) of 2 images we performed combined vaginoscopy-cystoscopy (CVC) during evaluation for vesicovaginal fistula as a means of better visualization, allowing more precise identification and better preoperative planning.Materials and Methods: A regular cystoscope, and a 10 mm 0-degree laparoscope were used. Each was attached to a different microcamera and light source. the cameras were hooked to the back of a Twinvideo (Karl Storz Endoscopy, Tuttlingen, Germany), allowing a wide variety of views combining the 2 images. Cystoscopy was performed as usual and the laparoscope was used for vaginoscopy with a transparent vaginal speculum to maintain the vagina open, while allowing visualization of the vaginal wall. the 2 images were combined in picture in picture, providing confidence during the fistula identification process. Urinary leakage was viewed simultaneously with guide wire passage through the cystoscope and vaginal wall, showing the exactly fistula position.Results: the CVC procedure using 2 images in picture in picture allows precise identification during evaluation for vesicovaginal fistula.Conclusions: CVC has become a routine procedure in suspicious cases or in those of a confirmed diagnosis of vesicovaginal fistula at our institution. It increases the likelihood of fistula diagnosis and identification, allowing better surgical planning.
Keywords bladder
vagina
fistula
cystoseopy
laparoscopy
Language English
Date 2003-12-01
Published in Journal of Urology. Philadelphia: Lippincott Williams & Wilkins, v. 170, n. 6, p. 2330-2332, 2003.
ISSN 0022-5347 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 2330-2332
Origin http://dx.doi.org/10.1097/01.ju.0000096343.03276.75
Access rights Closed access
Type Article
Web of Science ID WOS:000186529000040
URI http://repositorio.unifesp.br/handle/11600/27507

Show full item record




File

File Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Search


Browse

Statistics

My Account