PFD Week 2018-Robot Assisted Vesicovaginal Fistula Repair via Transvesical Approach

Robot Assisted Vesicovaginal Fistula Repair via Transvesical Approach

Video Transcription

Video Summary

In this video, a 53-year-old woman with a vesicovaginal fistula following a hysterectomy and multiple previous repairs undergoes a robotic transvesical vesicovaginal fistula repair. The procedure involves the placement of double J ureteral stents, dissection of the space of retzius to improve bladder mobility, and making a cystotomy at the dome of the bladder. The fistula site is identified and mobilized, and the different tissue layers are closed using sutures. The ureters are observed for spillage, and the cystotomy is closed. Four weeks later, there is no recurrence of fistula, and at six weeks, the patient has a healed bladder without leakage. A three-layer closure and robot-assisted transvesical approach are recommended for vesicovaginal fistula repair. No credits for the video are provided.

Asset Subtitle

Erik D Hokenstad, MD

Meta Tag

Category Complications

Category Surgery - Robotic Procedures

Concept Vesicovaginal Fistula

Concept Layered Closure

Concept Tension-Free Repair

Concept Recurrent Fistula

Concept Transvesical Approach

Keywords

vesicovaginal fistula repair

robotic transvesical approach

hysterectomy

double J ureteral stents

bladder mobility

Complications

Surgery - Robotic Procedures

Vesicovaginal Fistula

Layered Closure

Tension-Free Repair

Recurrent Fistula

Transvesical Approach