الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Iatrogenic vesicovaginal fistula (VVF) rates are increasing as a result of increased obstetric trauma and hemostatic hysterectomies in developing countries. Vaginal, abdominal, and laparoscopic surgery are the three forms of surgery most typically utilised for VVF repairs. Every year, roughly 500,000 new fistula cases are reported worldwide, which leads to obstetric complications. Iatrogenic fistulas are increasing in frequency, but this is primarily due to the remarkable improvements in surgical techniques in industrialised countries. The woman becomes an outcast in society as a result of ongoing urinary leaks and urine odour. The most typical kind of urogenital fistula is this one. Different methods of VVF repair have been documented, and these can be carried out either vaginally or abdominally. Recurrent fistulas, radiation fistulas, small capacity bladders requiring augmentation, related ureteric injuries requiring reimplantation, and high up supratrigonal fistulas are among the conditions where the abdominal route is recommended. Compared to vaginal repair, the abdominal technique is more morbid even though it yields a more lasting result. The surgeon’s preferences, the VVF’s location, or its complexity are typically taken into account while choosing the method of treatment [3]. Minimally invasive techniques like robotic surgery and laparoscopic surgery are now being used to treat VVF [4]. Laparoscopic repair is currently a well-established strategy in the care of VVF, with several studies demonstrating its safety, feasibility, and effectiveness with a good success rate and decreased morbidity compared to those of open surgery. With success rates ranging from 90% to 100%, these cutting-edge procedures have been shown to be equally as effective as open surgery. This study aimed to evaluate the outcome of both laparoscopic and open trans-abdominal surgical repair of high vesicovaginal fistula (above the trigone). This is a prospective randomized clinical study conducted on 40 patients with high Vesicovaginal fistula (VVF) above the trigone randomly divided into 2 groups as follows: group A: (Open trans-abdominal surgical repair group), and group B: (Laparoscopic repair group).