Transvaginal repair

Suitable for most bladder vaginal fistulas, especially those with lower fistula. Notes on transvaginal repair: 1. When separating the vaginal wall from the bladder wall, the bladder wall and the cervix, pay attention to the anatomical level, the level is clear, and the separation should not be difficult. After injection of anesthetic liquid, it is helpful for separation. 2. Bleeding of vaginal wall and bladder wall can be ligated with silk thread No. 1. Hemorrhage at the side of the urethra, which is difficult to stop bleeding, can be oppressed to stop bleeding. 3. To avoid damage to the bladder, urethra and rectum, sutures must not pass through the mucosa of the bladder and rectum. 4. How much resection of the anterior and posterior vagina should be based on the degree of bulge of the bladder and rectum and the degree of relaxation of the vaginal wall.