Vesicovaginal fistula: An unusual complication of laparoscopic assisted nephroureterectomy.

DISCUSSION Vesicovaginal fistula most commonly occurs as a complication of gynaecological operations with an increasing trend of bladder injury with secondary fistulisation as laparoscopic surgery in pelvis is becoming more common.[ 1 2 ] Vesicovaginal fistula is a not a common complication of laparoscopic nephroureterectomy.[ 4 5 ] In our patient, a 7 cm Gibson incision was given for the ureterectomy as there was a struggle in taking out the cuff of the bladder and deep sutures were applied for the cuff closure.

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