Case: A 69-year-old woman with a history of anterior vaginal wall prolapse developed a vesicovaginal fistula within days of undergoing anterior transvaginal mesh surgery. A transvesical laparoscopic approach was used to resect the bladder mesh. Then an extravesical vesicovaginal fistula repair was performed.
Conclusion: Laparoscopy can be an alternative to simultaneous bladder mesh removal and surgical correction of a vesicovaginal fistula.
Key Words: Vesicovaginal fistula, Mesh complications, Mesh erosion, Laparoscopic repair of vesicovaginal fistula, PROLIFT.