Related Experiment Video
Updated: Jul 13, 2026
Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
Vesicouterine Fistula: A Robotic Approach
Mary V Baker1, Cassandra K Kisby2, John A Occhino2
1Female Pelvic Medicine and Reconstructive Surgery, Vanderbilt University, 1121 Medical Center Drive, Nashville, TN, 37232, USA. Mary.vm.baker@vumc.org.
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.
