A Multi-Institutional Experience with Robotic Vesicovaginal and Ureterovaginal Fistula Repair After Iatrogenic Injury

Kidd, Laura; Lee, Matthew; Lee, Ziho; Epstein, Marcia; Liu, Shuo; Rangel, Enanyeli; Ahmed, Nahrin; Sotelo, René; Hemal, Ashok K.; Eun, Daniel

doi:10.1089/end.2020.0993

Cited by 13 publications

(4 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Kidd et al [23] conducted a retrospective study and observed that robotic-assisted repair had a median operating time of 187 minutes (IQR: 151-219), minimal blood loss (median 50 mL, IQR: 50-93), and a median hospitalization time of one day (IQR: 1-2), with only two patients (9%) having a postoperative complication. Eventually, 20 out of 22 included patients (91%) were free of UI at follow-up [23].…”

Section: Discussionmentioning

confidence: 99%

Surgical and Quality of Life Outcomes Following Robotic-Assisted (da Vinci) Laparoscopic Repair of Vesicovaginal Fistula: A Case Report and Video Demonstration

Tsakos¹,

Xydias²,

Ziogas³

et al. 2023

Cureus

View full text Add to dashboard Cite

This report presents the case of a 63-year-old woman who developed a vesicovaginal fistula as a complication of a previous total hysterectomy. The fistula was treated with the use of the da Vinci X surgical system by a multi-disciplinary operating team, including senior Robotic Urological and Gynecological Surgeons at St. Luke's Hospital in Thessaloniki, Greece. The patient was monitored up to 12 months post-op at the time of writing and she was asked to evaluate post-op quality of life using the SF-36 and ICIQ-SF-UI questionnaires. The robotic surgical procedure was completed successfully. The total operation duration was 105 minutes, without any intra-operative complications. The patient was hospitalized for two days and made a swift, uneventful recovery. Regarding the quality of life, the patient reported satisfactory improvement in almost every domain assessed compared to her pre-op assessment; an improvement that was maintained throughout the reported follow-up period. At the time of writing, the patient reports no long-term complications and satisfactory urinary continence. Robotic-assisted laparoscopic vesicovaginal fistula repair is an effective and safe treatment option for this rare complication, as indicated by both post-operative data and the patient's own self-evaluation in this report. Further research is warranted, focusing on refining the surgical technique and comparing this to other alternative methods aiming to further improve patient outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Surgical and Quality of Life Outcomes Following Robotic-Assisted (da Vinci) Laparoscopic Repair of Vesicovaginal Fistula: A Case Report and Video Demonstration

Tsakos¹,

Xydias²,

Ziogas³

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…Subsequently, Siddighi and Carri (21) reported that they successfully repaired UVFs robotically using five ports in three patients. The sparsity of the literature, as well as small case series, reflects the exploration of ureteral implantation for UVF in Table 2 (2,16,(19)(20)(21)(22)(23)(24). Based on the surgical outcomes of the considered studies, the benefits of robotic-assisted implantation are highlighted to a certain extent in the previous literature.…”

Section: Discussionmentioning

confidence: 99%

Robotic ureteral reimplantation for the management of ureterovaginal fistula: four cases at a single center

Yuan¹,

Wang²,

Cheng³

et al. 2021

Transl Androl Urol

View full text Add to dashboard Cite

Background: To describe our initial experience with robotic ureteral reimplantation for the management of ureterovaginal fistulas.Methods: Between January 2018 and January 2020, four patients received robotic ureteral reimplantation for ureterovaginal fistulas. All patients were diagnosed based on anterograde urography and computed tomography urography (CTU). Follow-up was performed with magnetic resonance urography and renal ultrasound as well as the clinical assessment of symptoms. Results:The mean age of all patients was 50.3 years (range, 37-65). The cause of the ureterovaginal fistula in four patients was due to a previous hysterectomy. The mean time from fistula diagnosis to robotic repair surgery was 14.5 months (range, 3-36). All robotic procedures were successfully performed without intraoperative complications or open conversion. The mean operative time was 137 minutes (range, 116-171), and the mean estimated blood loss was 25 mL (range, 10-50). No postoperative complications that were high grade (grade III and IV) occurred within one month of surgery. Patients had the double-J (D-J) stents removed 2 months after surgery and the nephrostomy tubes removed 3 months after the operation.There was a 100% success rate without serious complications, such as the leakage of urine and side progressive hydronephrosis, during the 6 to 24 months of follow-up.Conclusions: Our initial results and experience showed that robotic ureteral reimplantation for the management of ureterovaginal fistula is safe and feasible.

show abstract

“…There are only three studies that included more than 15 patients, with a respective mean operative time of 127.5 min (100-270), 133 ± 48 min and 187 min (151-219 min), and a reported success rate of 100%, 93.3% and 91%. 57,58,67 Most surgeons have used the conventional transvesical approach with some form of tissue interposition. A robotic extravesical approach for VVF repair was first reported in 2007 by Schimpf et al 63 In summary, due to the small number of VVF cases repaired robotically in addition to the heterogeneity of studies, there is a need for more prospective and comparative studies with greater patient numbers and longer follow-ups.…”

Section: Studymentioning

confidence: 99%

“…There are only three studies that included more than 15 patients, with a respective mean operative time of 127.5 min (100–270), 133 ± 48 min and 187 min (151–219 min), and a reported success rate of 100%, 93.3% and 91%. 57 , 58 , 67 …”

Section: Genitourinary Fistulamentioning

confidence: 99%

Current evidence of robotic-assisted surgery use in functional reconstructive and neuro-urology

Tsoi,

Elnasharty,

Culha

et al. 2023

Therapeutic Advances in Urology

View full text Add to dashboard Cite

The use of robot-assisted technology has been widely adopted in urological oncological surgery and its benefits have been well established. In recent years, robotic technology has also been used in several functional reconstructive and neuro-urology (FRNU) procedures. The aim of this review was to evaluate the current evidence in the use of robotic technology in the field of FRNU. We performed a PubMed-based literature search between July and August 2022. The keywords we included were ‘robotic assisted’, ‘ureteric reimplantation’, ‘cystoplasty’, ‘ileal conduit’, ‘neobladder’, ‘sacrocolpopexy’, ‘colposuspension’, ‘artificial urinary sphincter’, ‘genitourinary fistula’ and ‘posterior urethral stenoses’. We identified the latest available evidence in the use of robotic technology in specific FRNU procedures such as the reconstruction of the ureters, bladder and urinary sphincter, urinary diversion, and repair of genitourinary prolapse and fistula. We found that there is a lack of prospective studies to assess the robotic-assisted approach in the field of FRNU. Despite this, the advantages that robotic technology can bring to the field of FRNU are evident, including better ergonomics and visual field, less blood loss and shorter hospital stays. There is therefore a need for further prospective studies with larger patient numbers and longer follow-up periods to establish the reproducibility of these results and the long-term efficacy of the procedures, as well as the impact on patient outcomes. Common index procedures and a standardized approach to these procedures should be identified to enhance training.

show abstract

A Multi-Institutional Experience with Robotic Vesicovaginal and Ureterovaginal Fistula Repair After Iatrogenic Injury

Cited by 13 publications

References 17 publications

Surgical and Quality of Life Outcomes Following Robotic-Assisted (da Vinci) Laparoscopic Repair of Vesicovaginal Fistula: A Case Report and Video Demonstration

Surgical and Quality of Life Outcomes Following Robotic-Assisted (da Vinci) Laparoscopic Repair of Vesicovaginal Fistula: A Case Report and Video Demonstration

Robotic ureteral reimplantation for the management of ureterovaginal fistula: four cases at a single center

Current evidence of robotic-assisted surgery use in functional reconstructive and neuro-urology

Contact Info

Product

Resources

About