Vesicouterine Fistula: A Robotic Approach.

INTRODUCTION AND HYPOTHESIS: This video demonstrates surgical repair of a vesicouterine fistula via a robotic, uterine-sparing approach. METHODS: In this video, we present a vesicouterine fistula, which occurred after cesarean delivery. The patient presented with cyclical hematuria 4 years following delivery. She underwent uterine-conserving robotic repair via excision of the fistula tract through an intentional cystotomy. The uterus and bladder were closed in multiple layers. RESULTS: The patient tolerated the procedure well, and CT cystogram 6 weeks following surgery demonstrated no concern for defect or recurrent fistulization. The patient was asymptomatic 9 months following her procedure. CONCLUSION: Repair of a vesicouterine fistula may be safely completed via a minimally invasive approach without need for routine hysterectomy.

Duke Scholars

Author Cassandra K Kisby Obstetrics and Gynecology, Urogynecology