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Complications in Robotic Urologic Surgery pp 285–296Cite as

Urinary Fistulas

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Abstract

Urological fistulas include vesicovaginal, urethrovaginal, ureterovaginal, rectourinary (rectourethral and rectovesical), and vesicouterine fistulas. These are usually secondary to an unrelated medical or surgical treatment. The most common presenting symptom is continuous or intermittent urinary incontinence. Conservative management is usually unsuccessful. The most important step in their management is thorough workup, as occasionally, there is more than one fistula present. The principles of urinary fistula repair include adequate nutrition, elimination of sources of infection, unobstructed urinary drainage, tension-free closure, and interposition of healthy tissue. Open repair is the most common treatment; however, minimally invasive approaches are increasingly being performed, following the principles of open surgery. Robotic management of fistulas has the advantage of increased precision during dissection of fibrotic surfaces and reconstruction.

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Author information

Authors and Affiliations

  1. Roswell Park Cancer Institute, Elm & Carlton Streets, Buffalo, NY, 14203, USA

    Luciano Adolfo Nuñez Bragayrac MD

  2. Keck Medicine of USC, USC Institute of Urology, 1441 Eastlake Avenue, Suite 7416, Los Angeles, CA, 90089, USA

    David Michael Hatcher MD

  3. USC Institute of Urology, University of Southern California, Los Angeles, CA, USA

    René Javier Sotelo Noguera MD

Authors
  1. Luciano Adolfo Nuñez Bragayrac MD
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  2. David Michael Hatcher MD
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  3. René Javier Sotelo Noguera MD
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Corresponding author

Correspondence to Luciano Adolfo Nuñez Bragayrac MD .

Editor information

Editors and Affiliations

  1. USC Institute of Urology, University of Southern California, Los Angeles, California, USA

    René Sotelo

  2. Department of Urology, Hospital CIMA, Hermosillo, Sonora, Mexico

    Juan Arriaga

  3. USC Institute of Urology, University of Southern California, Los Angeles, California, USA

    Monish Aron

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Nuñez Bragayrac, L.A., Hatcher, D.M., Sotelo Noguera, R.J. (2018). Urinary Fistulas. In: Sotelo, R., Arriaga, J., Aron, M. (eds) Complications in Robotic Urologic Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-62277-4_30

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  • DOI: https://doi.org/10.1007/978-3-319-62277-4_30

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-62276-7

  • Online ISBN: 978-3-319-62277-4

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