Exploring robot-assisted vesicovaginal fistula repair: two case reports and a narrative literature review

ABSTRACT

Background. Vesicovaginal fistula (VVF) is a rare occurrence in Western countries, primarily resulting from iatrogenic injuries. Surgical repair becomes necessary when conservative management fails, However, timing and surgical approaches (vaginal, laparotomic, laparoscopic, robot-assisted) are still under debate.

Case presentation. We aim to present two case reports with a step-by-step description of the adopted robot-assisted surgical approach for the VVFs repair, highlighting its feasibility in primary and recurrent cases, along with a narrative literature review of previously described robot-assisted managed VVF cases.

Conclusions. Robot-assisted VVFs surgical repair represents a state-of-the-art treatment, combining advanced technology with surgical expertise to achieve optimal postoperative out-comes. In our experience, it is feasible, safe, effective, and represents a viable approach, especially in complex cases.

Key words

Vesicovaginal fistula; robotic surgery; minimally invasive surgery.