Suprapublic Cystotomy, without Distending the Bladder

Cystotomy for Bladder Tumours of Doubtful Malignancy

micturition ; this was accompanied by some slight pain in the penis, lasting only a few minutes. The frequency of the passage of blood gradually increased, and the pain steadily became worse up to July 15th, when the bladder was sounded; this caused very free hemorrhage, and since that date there has been always a large amount of blood passed, mixed with the urine, and always some free bleeding...

Suprapublic Lithotomy

Vesicovaginal Fistula Repair Without Intentional Cystotomy Using the Laparoscopic Robotic Approach: a Case Report

BACKGROUND AND OBJECTIVES Fistulas inaccessible from the vagina may require abdominal repair; we sought to evaluate the robotic-assisted laparoscopic approach for this procedure. METHODS A 41-year-old nulliparous woman presented with urinary incontinence following an abdominal hysterectomy, and office evaluation identified a vesicovaginal fistula. After discussion with the patient regarding t...

[Laparoscopic repair of vesico-vaginal fistula without intentional cystotomy and guided by vaginal transillumination].

OBJECTIVES Repair of vesico-vaginal fistula (VVF) by laparoscopy provides excellent exposure, which facilitates their implementation through small cystotomy. In some cases is difficult to locate the fistula without the prior opening of the bladder. We present a maneuver using vaginal transillumination to locate the fistula and to reduce the size of the opening bladder during laparoscopic repair...

Large Encysted Vesical Calculus, Litholapaxy, Suprapubic Cystotomy