We opted for a symphysiotomy approach in the management of cervico-ure
thro-vaginal fistulae in two patients. This approach offers an excelle
nt exposure of the region of the bladder neck. After section of the sy
mphysis pubis with a Gigli's wire saw, the anterior wall of the bladde
r was taken down to the fistulae and we excised the fistulous tract. L
ongitudinal closure of the fistulae and the bladder followed. Results
were satisfactory and there were no urinary incontinence.