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

摘要

Abstract 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.