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Vesicouterine Fistula: A Robotic Approach

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Abstract

Introduction and hypothesis

This video demonstrates surgical repair of a vesicouterine fistula via a robotic, uterine-sparing approach.

Methods

In this video, we present a vesicouterine fistula, which occurred after cesarean delivery. The patient presented with cyclical hematuria 4 years following delivery. She underwent uterine-conserving robotic repair via excision of the fistula tract through an intentional cystotomy. The uterus and bladder were closed in multiple layers.

Results

The patient tolerated the procedure well, and CT cystogram 6 weeks following surgery demonstrated no concern for defect or recurrent fistulization. The patient was asymptomatic 9 months following her procedure.

Conclusion

Repair of a vesicouterine fistula may be safely completed via a minimally invasive approach without need for routine hysterectomy.

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Fig. 1

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Consent

Written informed consent for educational dissemination of deidentified surgical videos was obtained from the patient before surgery.

Author information

Authors and Affiliations

  1. Female Pelvic Medicine and Reconstructive Surgery, Vanderbilt University, 1121 Medical Center Drive, Nashville, TN, 37232, USA

    Mary V. Baker

  2. Division of Urogynecology, Mayo Clinic, Rochester, MN, USA

    Cassandra K. Kisby & John A. Occhino

Authors
  1. Mary V. Baker
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  2. Cassandra K. Kisby
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  3. John A. Occhino
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Corresponding author

Correspondence to Mary V. Baker.

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The authors report no conflicts of interest.

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Baker, M.V., Kisby, C.K. & Occhino, J.A. Vesicouterine Fistula: A Robotic Approach. Int Urogynecol J 33, 1685–1687 (2022). https://doi.org/10.1007/s00192-021-04940-6

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  • DOI: https://doi.org/10.1007/s00192-021-04940-6

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