Robotic-assisted laparoscopic repair of a vesicouterine fistula

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

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Background: As cesarean sections become a more common mode of delivery, they have become the most likely cause of vesicouterine fistula formation. The associated pathology with repeat cesarean deliveries may make repair of these fistulas difficult. Computer-enhanced telesurgery, also known as robotic-assisted surgery, offers a 3-dimensional view of the operative field and allows for intricate movements necessary for complex suturing and dissection. These qualities are advantageous in vesicouterine fistula repair. Case: A healthy 34-year-old woman who underwent 4 cesarean deliveries presented with a persistent vesicouterine fistula. Conservative management with bladder decompression and amenorrhea-inducing agents failed. Results: Robotic-assisted laparoscopic repair was successfully performed with the patient maintaining continence after surgery. Conclusion: Robotic-assisted laparoscopic repair of vesicouterine fistulas offers a minimally invasive approach to treatment of a complex disease process.

Original languageEnglish
Pages (from-to)339-342
Number of pages4
JournalJournal of the Society of Laparoendoscopic Surgeons
Issue number3
StatePublished - Jul 2011
Externally publishedYes


  • Genitourinary fistula
  • Robotic-assisted laparoscopy
  • Vesicouterine fistula


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