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.
Keywords: Robotic surgery; Uterine conservation; Vesicouterine fistula.
© 2021. The International Urogynecological Association.