DRS. MIKLOS AND MOORE are undeniably the most experienced and foremost authorities of laparoscopic vesicovaginal fistula (VVF) repair in the world.

In 1998 they were the second surgical team in the world to report on laparoscopic VVF repair and today their experience is beyond reproach. Patients of Miklos & Moore have a documented 98 percent cure rate, with an average blood loss of 1 tablespoon and an average hospital stay of only 1 day. They have truly perfected the laparoscopic VVF repair in patients who have both primary cases of fistula and those with failed repairs. Drs. Miklos and Moore have corrected VVF in patients with as many as 4 previous failures and have had patients from Hawaii, St Johns’ Island, Nigeria and as far away as Hong Kong. You deserve the very best in surgical care; make Drs. Miklos & Moore your bladder fistula repair specialists

Tell me more about Vesicovaginal Fistula (VVF)?

Vesicovaginal Fistula, also known as bladder fistula, is an abnormal passage between the bladder and the vagina.

Causes of a Vesicovaginal Fistula can include:

  • Complications from Abdominal Hysterectomy
  • Complications from Vaginal Surgery (i.e. anterior repair)
  • Complications from Vaginal Mesh or Sling Insertion
  • Cancer
  • Radiation Therapy

Location and/or complexity of the fistula and a surgeon’s medical training will determine the technique used in repairing a vesicovaginal fistula. Less than 1% of urologists, Urogynecologists and gynecologists can perform a laparoscopic VVF repair.

“Dr. Moore, I told my Urologist I wanted this fistula repaired laparoscopically and he just said, “Good Luck”. I found Dr. Moore on the web after having at least 6 tests done by other doctors before getting them to diagnose my problem. I have had a 100 % recovery!”

What are the treatment options for Vesicovaginal Fistula?

Dr. Miklos and Dr. Moore have more experience than anyone in the world doing a laparoscopic vesicovaginal fistula repair. Bladder fistulas have been traditionally repaired through larger abdominal incisions known as laparotomies, but laparoscopic (small incision) surgery offers distinct advantages.

Repairing VVF by means of laparoscopy results in a significantly smaller incision, greater visibility during surgery, and a reduced recovery time. A telescope is used to perform surgery and provide the surgeon with an inside look at the fistula to make precise and accurate repairs to the vaginal and bladder wall. As a result, Drs. Miklos and Moore can repair fistulas with greater detail and complete visualization laparoscopically compared to the vaginal or abdominal approach used by most other surgeons.

1 | Vesicovaginal fistula

Vesicovaginal Fistula

2 | Locating the fistula

Vesicovaginal Fistula 2_Clamp

3 | Stenting of fistula

Vesicovaginal Fistula 3_Cystoscope

4 | Final placement of stent in fistula

Vesicovaginal Fistula 4_catheter

5A | Laparoscopic dissecting

Vesicovaginal Fistula 5a_Dissecting

5B | Laparoscopic dissecting

Vesicovaginal Fistula 5b_DissectionBladder

6A | Identifying fistula tract

Vesicovaginal Fistula 6a_CathExposed

6B | Identifying fistula tract

Vesicovaginal Fistula 6b_FistulaTractTube

7 | Completed dissection of fistula

Vesicovaginal Fistula 7_IndependentHoles

8 | Fistula repair – closure of vagina

Vesicovaginal Fistula 8_VaginalRepair

9 | Fistula repair – closure of bladder

Vesicovaginal Fistula 9_BladderRepair1

10 | Final closer of bladder

Vesicovaginal Fistula 10_BladderRepair2

“Thank you Dr. Miklos for performing the surgery. I have been through 2 other attempts at vesicovaginal fistula (VVF) repairs and both were not successful. Dr. Miklos (and Dr. Moore) and staff were very professional, and yet made my husband and myself feel completely cared for. Dr. Miklos took the time before and after to answer all my questions regarding VVFs. I would recommend him to anyone who is suffering from vesicovaginal fistula. After dealing with vesicovaginal fistula for 2 years, I feel like I have my life back. Thank you Dr. Miklos.”
Marion, Indiana

Possible complications of VVF Repair

Patients undergoing a vaginal fistula repair might experience complications during the procedure and post-operatively:

  • Post-Operative Failure
  • Recurrent Fistula Formation
  • Injury to ureter, bowel or intestines
  • Vaginal shortening

Drs. Miklos and Moore’s risk of complications are extremely low due to their surgical expertise:

  • Recurrent fistula formation – less than 2%
  • Injury to ureter, bowel or intestines – 0%
  • Vaginal shortening – 0%

Many patients with fistulas have had previous fistula surgery; therefore a laparoscopic fistula repair can be a complex procedure. Approximately 25% of our patients have had previous vesicovaginal fistula repairs that have failed from other surgeons. Drs. Miklos and Moore have a 100% cure rate with patients with previous failed vesicovaginal surgery. Patients referred to them have had 2, 3 and even 4 failed attempts at vesicovaginal fistula repair, but after one laparoscopic approach by Drs. Miklos and Moore, they have been cured of their fistula.


Where Do I Go From Here?


Drs. Miklos and Moore have published many surgical studies based on their experience in treating Vesicovaginal Fistulas.

Video Testimonials

Dr. Natrajan | California

Xiong | Hong Kong

“My research into Vaginal Fistula Repair led me to Dr. Moore & Miklos, whose qualifications and experience in Urogynecology made me sure that they were the doctors who could repair my uncomfortable and emotionally distressing condition. I went to them in faith, with no references from my doctors in Trinidad, just the knowledge that God had led me to them. My recovery was excellent and the surgery was successful. Whenever I think about what I endured for the past year the words “Free at last, thank God almighty I am free at last…” come to mind. Thank You Dr. Moore and Dr. Miklos for making my freedom possible.”
Port of Spain, Trinidad