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International Urogynecology Journal

, Volume 27, Issue 8, pp 1277–1278 | Cite as

Robotic vesico-vaginal fistula repair with no omental flap interposition

  • Alberto MartiniEmail author
  • Eugenio Dattolo
  • Jacopo Frizzi
  • Donata Villari
  • Maria Cristina Paoletti
IUJ Video

Abstract

Introduction and hypothesis

A vesico-vaginal fistula (VVF) is a fistulous tract that connects bladder and vagina, causing urine leakage via the vagina. In the developed world, iatrogenic postoperative VVF is the most common case. Classically, when treating a VVF via the abdominal route, an abdominal flap is mobilized and interposed between the bladder and the vagina.

Methods

In our video, we describe a robotic VVF repair technique with no omental flap interpositioning for a vaginal vault-located fistula.

Results

Duration of surgery was 95 min, estimated blood loss was <50 ml. The postoperative course was uneventful. At the 6-month follow-up, which included clinical and cystographic examinations, the patient had not experienced any recurrence.

Conclusion

In our opinion, a two-layered suturing technique using two semi-continuous sutures for vaginal closure and perpendicular interrupted stitches for bladder closure does not require omental flap mobilization, reducing operating time and possible complications related to accidental peritoneal injuries.

Keywords

Vesico-vaginal fistula Robotic Minimally invasive repair 

Notes

Acknowledgements

None.

Compliance with ethical standards

Conflicts of interest

None.

Consent

Written informed consent was obtained from the patient for publication of this video article and any accompanying images.

Supplementary material

ESM 1

(MP4 90608 kb)

References

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Copyright information

© The International Urogynecological Association 2016

Authors and Affiliations

  1. 1.Department of UrologyUniversity of Florence, Careggi HospitalFlorenceItaly

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