Robot-assisted repair of vesicovaginal fistula following orthotopic neobladder reconstruction:a case report
The treatment of vesicovaginal fistula following orthotopic ileal neobladder surgery is a clinical challenge.This article reports a case of a female patient who underwent radical cystectomy and orthotopic ileal neobladder surgery for muscle invasive bladder cancer.One year postoperatively,she experienced continuous in-continence.Cystography revealed a fistula at the posterior edge of the base of the neobladder.Cystoscopy showed a transverse slit-like fistula at the junction below the new bladder neck and the internal urethral orifice,measuring about 3.0cm in length.Robot-assisted repair of the vesicovaginal fistula was performed,and the surgery was suc-cessful.The patient was discharged five days postoperatively after the removal of the urinary catheter,and the su-prapubic catheter was removed eight weeks later.At the six-month follow-up,the patient's micturition was nor-mal,and no leaking from vaginal.
vesicovaginal fistulaorthotopic neobladderfistula repairrobot-assisted surgery
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