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Robotic management of urinary fistula

Medina, Luis G.
; 
Lee, Randall A.
; 
Celis, Valeria
; 
Rodriguez, Veronica
; 
Poncel, Jaime
; 
Sayegh, Aref S.
; 
Sotelo, Rene
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Journal article
Date
2024-03-02
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Fox Chase Cancer Center (Temple University)
Temple Health (Temple University)
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Subject
Fistula
 Rectourethral
 Rectovesical
 Robotic surgery
 Vesicovaginal
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https://scholarshare.temple.edu/handle/20.500.12613/11882
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https://doi.org/10.1016/j.ajur.2023.11.002
Abstract
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.
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Citation
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, Volume 11, Issue 3, 2024, Pages 357-365, ISSN 2214-3882, https://doi.org/10.1016/j.ajur.2023.11.002. (https://www.sciencedirect.com/science/article/pii/S2214388224000237)
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Elsevier
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Asian Journal of Urology, Vol. 11, Iss. 3
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