TY  - EJOU
AU  - Rogers, Alexandra E. 
AU  - Thiel, David D. 
AU  - Brisson, Theodore E. 
AU  - Petrou, Steven P. 

TI  - Robotic assisted laparoscopic repair of vesico-vaginal fstula: the extravesical approach
T2  - Canadian Journal of Urology

PY  - 2012
VL  - 19
IS  - 5
SN  - 1488-5581

AB  - Theoptimalmethodofvesico-vaginalfstula(VVF)repair remains undetermined.  Almost all previous descriptions of laparoscopic/robotic fstula repair involve utilizing a vertical cystotomy to identify the fsula.  Avoidance of an intravesical approach to vesico-vaginal fstula repair may decrease patient morbidity. Patient selection, patient positioning, fstula recognition, port placement, intra-operative dissection techniques, flap formation, and repair are outlined in this video of robotic repair of vesico-vaginal fstula utilizing an extravesical approach. The extravesical robotic repair has been successfully utilized in two patients with VVF following hysterectomy. This manuscript and video demonstrates that vesico-vaginal fstulae can be repaired with a robotic assisted extravesical approach avoiding the morbidity of a large cystotomy.
KW  - robotics
KW  -  laparoscopy
KW  -  vesico-vaginal fstula
KW  -  vagina

DO  -