Luis G. Medinaa,Randall A. Leeab,Valeria Celisa,Veronica Rodrigueza,Jaime Poncela,Aref S. Sayegha,Rene Soteloa*()
aThe Catherine and Joseph Aresty Department of Urology, USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA bDivision of Urology, Department of Surgery, Fox Chase Cancer Center, Temple University Health System, Philadelphia, PA, USA
Objectives: To highlight critical preoperative and intraoperative considerations in approaching fistula repair robotically.
Methods: A search of the literature was conducted to identify relevant articles pertaining to robotic management of urinary fistulae.
Results: Fistulae of the genitourinary tract can be a challenging dilemma for urologists, as definitive management may require surgical intervention. Pathogenesis of both enteric and non-enteric fistulae are multifactorial, and successful repair hinges on the meticulous perioperative evaluation, planning, and execution. Traditional open techniques can subject patients to increased morbidity and prolonged hospitalizations. Since its introduction, the robotic surgical platform has continued to expand its indications. Its three-dimensional visualization and tremor free wristed instrument movements have made the robotic platform an attractive option for genitourinary fistula reconstruction.
Conclusion: Robotic management of complex urinary fistulae is feasible in expert hands; more studies are needed to define its role in the treatment algorithm of this devastating conditions.
. [J]. Asian Journal of Urology, 2024, 11(3): 357-365.
Luis G. Medina, Randall A. Lee, Valeria Celis, Veronica Rodriguez, Jaime Poncel, Aref S. Sayegh, Rene Sotelo. Robotic management of urinary fistula. Asian Journal of Urology, 2024, 11(3): 357-365.
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