{
  "abstract": "Vesicovaginal fistula (VVF) is one of the most common iatrogenic complications of pelvic surgery. Giant VVFs reported in the literature that were successfully repaired were done transabdominally or using a combination of different approaches. This study presents a giant VVF that was successfully repaired transvaginally. This is a case of a female who came in for continuous vaginal leakage which presented 3 weeks after a total hysterectomy. Physical examination revealed a 6.0×3.0 cm vaginal defect. The patient underwent Latzko repair of vesicovaginal fistula with peritoneal flap interposition. The patient had a successful repair and remained continent for 13 months on follow-up. Fistula size alone may not necessarily be a single determinant in the route of fistula repair. With surgical experience and other complex factors ruled out, successful vaginal repair of giant vesicovaginal fistulas proves to be possible.",
  "authors": [
    {
      "affiliations": [
        "Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, University of the Philippines-Philippine General Hospital, Manila, Philippines"
      ],
      "name": "Maria Margarita Franchesca Concepcion Lojo"
    },
    {
      "affiliations": [
        "Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, University of the Philippines-Philippine General Hospital, Manila, Philippines"
      ],
      "name": "Ira Dominique A Malonzo"
    },
    {
      "affiliations": [
        "Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, University of the Philippines-Philippine General Hospital, Manila, Philippines"
      ],
      "name": "Almira J Amin-Ong"
    }
  ],
  "title": "Vaginal repair of a complex supratrigonal vesicovaginal fistula",
  "uid": "edb5213b-59ea-5f5e-b80b-42d10ca832f2"
}