Vesicovaginal fistula failing multiple surgical attempts salvaged laparoscopically without an interposition omental flap.

Failed vesicovaginal fistula repairs are often considered complicated and are thus relegated to an abdominal approach using an interposition omental flap. We report our successful laparoscopic approach without use of an omental flap in a patient with multiple recurrences of a vesicovaginal fistula.