Robotic transvesical vesicovaginal fistula repair: technical point from a tertiary center.

Background: The aim of this study was to report the institutional experience with robot-assisted trans-vesical vesico-vaginal fistula (VVF) repair focusing on technical points. Methods: Patients diagnosed with VVF who came to our observation between December 2020 and January 2024 were included in th...

Descripción completa

Detalles Bibliográficos
Publicado en:Minimally Invasive Therapy & Allied Technologies Vol. 34; no. 5; pp. 358 - 365
Autores principales: Costantino, Sonia, De Bon, Lorenzo, Roggero, Luca, Brancelli, Claudio, Baielli, Alberto, Ditonno, Francesco, Brusa, Davide, Pettenuzzo, Greta, Balzarro, Matteo, Rubilotta, Emanuele, Porcaro, Antonio Benito, Veccia, Alessandro, Cerruto, Maria Angela, Bertolo, Riccardo, Antonelli, Alessandro
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Oct2025
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188315988&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 188315988
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        13645706
        J4S
      jtl: Minimally Invasive Therapy & Allied Technologies
      issn: 13645706
      maglogo: Y
    pubinfo:
      dt: Oct2025
      vid: 34
      iid: 5
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
    artinfo:
      ui:
        188315988
        186487063
        188315988
        188315988
        10.1080/13645706.2025.2530463
        188315988
      ppf: 358
      ppct: 7
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Robotic transvesical vesicovaginal fistula repair: technical point from a tertiary center.
      aug:
        au:
          Costantino, Sonia
          De Bon, Lorenzo
          Roggero, Luca
          Brancelli, Claudio
          Baielli, Alberto
          Ditonno, Francesco
          Brusa, Davide
          Pettenuzzo, Greta
          Balzarro, Matteo
          Rubilotta, Emanuele
          Porcaro, Antonio Benito
          Veccia, Alessandro
          Cerruto, Maria Angela
          Bertolo, Riccardo
          Antonelli, Alessandro
        affil: Department of Urology, Azienda Ospedaliera Universitaria Integrata, Borgo Trento Hospital, University of Verona, Verona, Italy
      sug:
        subj:
          Robotic Surgical Procedures Methods
          Vesicovaginal Fistula Surgery
          Tertiary Health Care
          Treatment Outcomes
          Human
          Female
          Adult
          Middle Age
          Aged
          Descriptive Statistics
          Tomography, X-Ray Computed
          Length of Stay
          Retrospective Design
          Record Review
          Surgery, Reconstructive
          Urography
          Data Analysis Software
          Cystoscopy
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
      ab: Background: The aim of this study was to report the institutional experience with robot-assisted trans-vesical vesico-vaginal fistula (VVF) repair focusing on technical points. Methods: Patients diagnosed with VVF who came to our observation between December 2020 and January 2024 were included in the analysis. Beyond computed tomography scan, all patients underwent pre-operative cystoscopy; a cystography could also be executed. All patients were scheduled for robot-assisted repair with trans-vesical approach. Results: Five VVFs were developed after previous gynecological surgery, while one occurred after a urological surgical procedure. The median operative time was 137 min [interquartile range (IQR) (99–150)]. Intraoperative blood loss was negligible. The average hospital stay was six days. The urinary catheter was removed within four weeks (median catheterization time, 16.5 days) (IQR 14–27) after cystography was negative for leakages. One patient reported fever within three months from surgery (Clavien II). Pathology reports were negative for malignancies in all cases. No recurrences were reported during the follow-up. Conclusions: Robotic repair of VVF with a trans-vesical approach represents a safe and effective surgical option.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N