Work

Robot-Assisted Uterus-Sparing Repair of a Vesicouterine Fistula 26 Years After Cesarean Section: A Case Report and Review of Surgical Techniques

Year: 2025

Type: article

Abstract: INTRODUCTION AND HYPOTHESIS: This video illustrates the surgical repair of a vesicouterine fistula (VUF) via a transperitoneal, robot-assisted, uterus-sparing approach. METHODS: In this video, we present a VUF that occurred after a cesarean section. The patient presented 22 years later with persistent hematuria. She underwent a uterus-sparing, robot-assisted repair via excision of the fistula tract. The uterus and bladder were closed in multiple layers with omental interposition. RESULTS: The patient tolerated the procedure well. A follow-up cystography confirmed the absence of defects or fistula recurrence. She has remained asymptomatic since the surgery. CONCLUSIONS: Our video demonstrates the feasibility of vesicouterine fistula repair with uterine preservation using an exclusively robot-assisted transperitoneal approach with omental interposition, yielding excellent results.

Source: International Urogynecology Journal

DOI: 10.1007/s00192-025-06304-w

Authors: Fabien Romito, Chahin Achtari

Institution: Centre Hospitalier Universitaire Vaudois

Language: English

Topic: Ureteral procedures and complications

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,790