Transvaginal repair of postcystectomy peritoneovaginal fistulae

To our knowledge, peritoneovaginal fistula is a complication of cystectomy that has not been reported before, We describe 2 patients in whom a transva ginal approach using a Martius flap was utilized to repair persistent vagin al leakage after cystectomy. At a mean follow-up of 20 months, both patient s are free from vaginal leakage and have no evidence of recurrent fistula. This approach offers a safe and effective way to repair a peritoneovaginal fistula in a cystectomy patient. UROLOGY 56: 320-321, 2000, (C) 2000, Elsev ier Science Inc.