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Review
. 2023 Mar;24(3):117-120.
doi: 10.1007/s11934-022-01140-7. Epub 2023 Jan 10.

Robotic-Assisted Surgery-a Highly Effective Modality for Vesicovaginal Fistula Repairs

Affiliations
Review

Robotic-Assisted Surgery-a Highly Effective Modality for Vesicovaginal Fistula Repairs

Rajan S Sandhu et al. Curr Urol Rep. 2023 Mar.

Abstract

Purpose of review: To summarize recent experience with robotic vesicovaginal fistula repair and describe the contemporary technique.

Recent findings: Robotic vesicovaginal repair has been tested at multiple centers, with similar outcomes to open surgery. It has benefits including decreased hospital stay, less blood loss, and similar long-term outcomes. As long as the surgeon is experienced in robotic surgery, this technique appears to be promising. Robotic vesicovaginal repair results in similar outcomes to open surgery with decreased morbidity.

Keywords: Incontinence; Robotic surgery; Vesicovaginal fistula.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
    1. Zacharin RF: Historical introduction. In: Zacharin RF, Obstetric fistula. Springer-Verlag/Wien; 1988.
    1. Angioli R, Penalver M, Muzii L, Mendez L, Mirhashemi R, Bellati F, Crocè C, Panici PB. Guidelines of how to manage vesicovaginal fistula. Crit Rev Oncol Hematol. 2003;48(3):295–304. https://doi.org/10.1016/s1040-8428(03)00123-9 . (PMID: 14693342). - DOI
    1. Hillary CJ, Osman NI, Hilton P, Chapple CR. The aetiology, treatment, and outcome of urogenital fistulae managed in well- and low-resourced countries: a systematic review. Eur Urol. 2016;70(3):478–92. https://doi.org/10.1016/j.eururo.2016.02.015 . (Epub 2016 Feb 24 PMID: 26922407). - DOI
    1. Forsgren C, Lundholm C, Johansson ALV, Cnattingius S, Altman D. Hysterectomy for benign indications and risk of pelvic organ fistula disease. Obstet Gynecol. 2009;114(3):594–9. https://doi.org/10.1097/AOG.0b013e3181b2a1df . (PMID: 19701040). - DOI
    1. •• Randazzo M, Lengauer L, Rochat CH, Ploumidis A, Kröpfl D, Rassweiler J, Buffi NM, Wiklund P, Mottrie A, John H. Best practices in robotic-assisted repair of vesicovaginal fistula: a consensus report from the European Association of Urology Robotic Urology Section Scientific Working Group for Reconstructive Urology. Eur Urol. 2020;78(3):432–42. https://doi.org/10.1016/j.eururo.2020.06.029 . Epub 2020 Jul 9. Erratum in: Eur Urol. 2021 Feb;79(2):e63. PMID: 32653322. This is a European Consensus Report on Vesicovaginal Fistula Repair, detailing diagnosis, the technique, and treatment. This is a review of multiple studies and experiences from multiple high-volume robotic surgeons in Europe.

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