Prophylactic Management of Vesicovaginal Fistula Using Amniotic Membrane: A Case Report

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Stress urinary incontinence (SUI) is a common disorder among the females; women with SUI are faced with deterioration of the quality of life due to involuntary urine leakage. The management of SUI is surgical. Trans-obturator tape (TOT) is one of the methods used to improve this problem. In the present study, we report a menopaused woman aged 64 years old, referred to Shiraz University of Medical Sciences gynecology clinic due to stress urinary incontinence and was scheduled for TOT surgery. During the operation due to an iatrogenic rupture of the bladder, we introduced a novel technique in which vesicovaginal fistula was prevented intraoperatively using an amniotic membrane.