Surgery for Small Trigonal Vesico-vaginal Fistula repair is demonstrated

Surgery for small Trigonal Vesico-Vaginal fistula  repair is demonstrated in the video.   youtube link for the demonstration of the surgery for  Trigonal vesico-Vaginal Fistula Repair surgery This is a case of small trigonal vesico-vaginal fistula. The patient is a young woman of 22 years, who had history of obstructed labour, when she was not able to deliver the child vaginally, she ultimately went to hospital for delivery. By that time the fetus had died in-utero, and since it was obstructed labours, the dead child was delivered by cesarean section. Soon after surgery, patient developed leakage of urine. The patient could not get proper treatment for 3 years after which she presented to us. The cystoscopy was done first to assess the size of vesico-vaginal fistula. There as small trigonal fistula present just below the inter-ureteric crest. Double J stenting was done. The vaginal opening was confirmed by vaginoscopy and instilling methylene blue dye in urinary bladder. The tran