Laparoscopic Versus Open Surgical Repair of Genitovesical Fistula in Females

Launched by SOUTH VALLEY UNIVERSITY · Jun 20, 2025

Keywords

ClinConnect Summary

This clinical trial is studying two different surgical methods to repair a genitovesical fistula in women. A genitovesical fistula is an abnormal connection that forms between a woman’s reproductive organs (like the vagina or uterus) and her urinary system (such as the bladder). This condition can cause serious problems and affect a woman’s quality of life. The trial compares laparoscopic surgery, which uses small cuts and special tools, to open surgery, which involves a larger cut, to see which method works better for fixing the fistula.

Women who may be eligible for this trial are those who have either a vesicovaginal or vesicouterine fistula, meaning the fistula is between the bladder and vagina or uterus. The repair surgery should be done 2 to 6 months after symptoms first appear. Women with fistulas caused by cancer, those who have had radiation treatment, recurrent fistulas, or certain other health issues like bladder or uterine prolapse are not eligible. Participants can expect to receive one of the two types of surgery and be closely monitored to see how well the repair works and how it affects their recovery and quality of life. This study aims to help doctors find the safest and most effective way to treat this challenging condition.

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • Females with Vesicovaginal fistula or Vesicouterine fistula.
• • Timing of repair after 2-6 months of beginning of symptoms and signs of fistula.
• Exclusion Criteria:
• • Malignant , Recurrant or Post Radiation Genitovesical fistula.
• • Females with congenital disease in Bladder ,Uterus or Vagina.
• • Females with Vaginal or Uterine prolapse.