Details

Autor(en) / Beteiligte

• Kelly, Erin
• Wu, Maria Y
• MacMillan, J. Barry

Titel

Robotic-assisted vesicovaginal fistula repair using an extravesical approach without interposition grafting

Ist Teil von

• Journal of robotic surgery, 2018-03, Vol.12 (1), p.173-176

Ort / Verlag

London: Springer London

Erscheinungsjahr

2018

Quelle

SpringerNature Journals

Beschreibungen/Notizen

• Background Post-hysterectomy vesicovaginal fistula (VVF) is rare. In addition to conventional abdominal and vaginal approaches, robotic-assisted VVF repairs have recently been described. We present a case of an extravesical, robotic-assisted VVF repair, without placement of an interposition graft performed in a Canadian teaching center. Case A 51-year-old woman presented with urinary incontinence 5 days after laparoscopic hysterectomy. Computed tomography cystogram, cystoscopy, and methylene blue dye test, confirmed a VVF above the bladder trigone. The patient underwent a robotic-assisted VVF repair 3 months after presentation, without complication. An abdominal, extravesical approach was used. Operative time was 116 min and repeat CT cystogram showed no evidence of persistent. Conclusion We have demonstrated that a VVF repair, using a robotic-assisted, extravesical approach without interposition graft placement, can be safe, less invasive and have a successful outcome at 1 year of follow-up.