Robotic-Assisted Laparoscopic Repair of a Vesicouterine Fistula

Chang-Jackson, Shao-Chun R.; Acholonu, Uchenna C.; Nezhat, Farr

doi:10.4293/108680811x13071180407438

Cited by 19 publications

(13 citation statements)

References 15 publications

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“…6 Hemal et al were the earliest to report robotic assisted laparoscopic repair of fistula. 1,10 Omental graft is used during the repair of very big fistula as it act as a barrier between bladder and uterus and increase the rate of healing through better vascularisation. In present case, authors used transabdominal route to repair the fistula.…”

Section: Discussionmentioning

confidence: 99%

Youssef’s syndrome following caesarean section: a rare case with review of literature

Devkare

Gothwal

Gaikwad

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Youssef’s syndrome is a rare condition characterized by vesicouterine fistula with cyclic haematuria, amenorrhoea and incontinence of urine. A vesicouterine fistula is an abnormal connection between the uterus and bladder that most commonly occur due to inadvertent injury to the bladder during lower segment caesarean section. Vesicouterine fistula leads to psychological and has the negative impact on quality of life. A high suspicion should be kept in mind if the patient presents with urinary incontinence even many years after caesarean section. However, conservative management may be appropriate in some cases, but the definitive mode of management is surgery. Hereby authors present a 22-year-old para 2 live 2 (previous 2 caesarean section) with vesicouterine fistula with the complaint of urinary incontinence, cyclical haematuria (menouria) and amenorrhoea a year after caesarean section done due to obstructed labour.

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Section: Discussionmentioning

confidence: 99%

Youssef’s syndrome following caesarean section: a rare case with review of literature

Devkare

Gothwal

Gaikwad

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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“…Robotic-assisted surgery overcomes some of the difficulties related to the laparoscopic approach by better imaging and ease of intracorporeal suturing. 17 During surgery, if the uterus is to be preserved, the bladder is mobilized off the anterior lower uterine segment and the fistula tract is excised. Wide excision is not necessary; excision of only the edges is enough to preserve the vascularity Ugurlucan et al…”

Section: Discussionmentioning

confidence: 99%

Vesicouterine fistula presenting with urinary incontinence 30 years after primary Cesarean: Case report and review of the literature

Uğurlucan

Baştu²,

Bakir³

et al. 2014

CUAJ

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Cite as: Can Urol Assoc J 2014;8(1-2):e48-50. http://dx.doi.org/10.5489/cuaj.1225 Published online January 14, 2014. AbstractA vesicouterine fistula is an abnormal communication between the bladder and the uterus. The most common cause is lower segment Cesarean section. Conservative treatment may be applied in some cases, but surgery is the definitive treatment. We present a 55-year-old woman with vesicouterine fistula after primary Cesarean section; she presented with urinary incontinence 30 years later. Methylene blue dye test was performed and drainage of urine dyed with methylene blue through the uterine cervix was observed. Diagnosis was confirmed with magnetic resonance imaging. Total abdominal hysterectomy and bilateral oophorectomy was performed and the bladder wall was sutured in a double layer with 2/0 polyglycolic suture. No complications developed and the patient did not suffer from any urinary incontinence afterwards. Vesicouterine fistula should be suspected in cases presenting with urinary incontinence even years after Cesarean section; diagnostic tests and, if necessary, appropriate surgery should be performed.

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“…Chang‐Jackson et al . published a case report of robotic‐assisted VUF repair . The patient had undergone four cesarean deliveries, and presented with a persistent VUF after failing conservative treatment with bladder decompression and amenorrhea‐inducing agents.…”

Section: Vufmentioning

confidence: 99%

“…Chang-Jackson et al published a case report of roboticassisted VUF repair. 59 The patient had undergone four cesarean deliveries, and presented with a persistent VUF after failing conservative treatment with bladder decompression and amenorrhea-inducing agents. Only one accessory port was used to carry out the robot-assisted VUF repair, in comparison with the two to three accessory ports used by Hemal et al 58 The operative time (with hysteroscopy and cystoscopy) was 190 min, and the estimated blood loss was 100 mL.…”

Section: Vufmentioning

confidence: 99%

Recent advances in robotic surgery in female urology

et al. 2013

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Abbreviations & AcronymsAbstract: Pelvic organ prolapse and lower urinary tract fistulas are two disorders frequently managed in female urology. New techniques have been adapted and improved to decrease morbidity and improve clinical outcomes of these disorders. The adaptation of minimally-invasive approaches for the management of pelvic organ prolapse and lower urinary tract fistulas began with laparoscopy. However, laparoscopic surgery has not gained widespread popularity as a result of the associated technical challenges, such as intracorporeal suturing and pelvic dissection. Robotic surgery has been widely carried out in urological oncology since 2001, and has been widely adapted because of its advantages over conventional laparoscopy for the management of pelvic organ prolapse and lower urinary tract fistulas. The current literature has shown the safety, feasibility and favorable clinical outcomes of robotic surgery for the treatment of these disorders. Robotic surgery in the management of pelvic organ prolapse and lower urinary tract fistula repairs might offer a promising advancement and benefits. However, further long-term data should be followed to assess the durability of this newer, and minimally-invasive approach.

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Robotic-Assisted Laparoscopic Repair of a Vesicouterine Fistula

Abstract: Results of this study suggest that computer-enhanced technology may provide a bridge for more surgeons to incorporate laparoscopic surgery in the management of complex cases.

Cited by 19 publications

References 15 publications

Youssef’s syndrome following caesarean section: a rare case with review of literature

Youssef’s syndrome following caesarean section: a rare case with review of literature

Vesicouterine fistula presenting with urinary incontinence 30 years after primary Cesarean: Case report and review of the literature

Recent advances in robotic surgery in female urology

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