PFD Week 2017-Extravesical Robotic Ureteral Reimplantation for Ureterovaginal Fistula

Extravesical Robotic Ureteral Reimplantation for Ureterovaginal Fistula

Video Transcription

Video Summary

The video transcript describes a case of a 55-year-old female with a ureterovaginal fistula following a robotic hysterectomy. The patient developed urinary incontinence after surgery and was managed with a urethral catheter and a left nephrostomy tube. However, she continued to experience incontinence and underwent extravesical robotic ureteral reimplantation. The surgical technique involved mobilization of the colon, identification and dissection of the ureter, transection of the distal ureter, and anastomosis with the bladder. A double-J ureteral stent was placed, and postoperative follow-up ensured adequate healing. Robotic ureteral reimplantation has shown good outcomes, but patient follow-up is crucial for detecting complications. Minimally invasive approaches have lower morbidity rates compared to open approaches.

Asset Subtitle

Brian J Linder, MD

Keywords

ureterovaginal fistula

robotic hysterectomy

urinary incontinence

extravesical robotic ureteral reimplantation

minimally invasive approaches