Partial Colpocleisis Latzko Procedure

This technique was described by Latzko as an alternative repair of simple, deep vaginal vault fistulas. This procedure is convenient for fistulas less than 1.5 cm. It does not involve excision of the fistula nor does it place any intrav-esical sutures, thus eliminating the need for performing ureteral reimplantation. The procedure requires a short period of hospitalization. However, the disadvantage of this partial colpocleisis is shortening of the vagina.

Figure 13-1.1. Circumferential incision around the fistula tract with anterior and posterior extension to allow wide dissection. (Reprinted from Ghoniem GM, Monga M.Modi-fied pubovaginal sling and Martius graft for repair of the recurrent vesicovaginal fistula involving the internal urinary sphincter. Eur Urol. 1995;27(3):241—5, with permission from S. Karger AG, Basel.)

Figure 13-1.1. Circumferential incision around the fistula tract with anterior and posterior extension to allow wide dissection. (Reprinted from Ghoniem GM, Monga M.Modi-fied pubovaginal sling and Martius graft for repair of the recurrent vesicovaginal fistula involving the internal urinary sphincter. Eur Urol. 1995;27(3):241—5, with permission from S. Karger AG, Basel.)

Figure 13-1.3. Martius fibroadipose flap. (Reprinted from Ghoniem GM,Monga M.Modified pubovaginal sling and Martius graft for repair of the recurrent vesicovaginal fistula involving the internal urinary sphincter. Eur Urol. 1995;27(3):241—5, with permission from S. Karger AG, Basel.)

Figure 13-1.2. Excision of the fistula tract.(Reprinted from Ghoniem GM,Monga M.Modified pubovaginal sling and Martius graft for repair of the recurrent vesicovaginal fistula involving the internal urinary sphincter. Eur Urol. 1995;27(3):241—5, with permission from S. Karger AG, Basel.)

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