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Minimally invasive management of urological fistulas

Núñez Bragayrac, Luciano A.a,d; Azhar, Raed A.b,c; Sotelo, Renea

doi: 10.1097/MOU.0000000000000144
ORGAN SPARING SURGERY IN UROLOGY: Edited by Inderbir S. Gill
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Purpose of review Urological fistulas are an underestimated problem worldwide and have devastating consequences for patients. Many urological fistulas result from surgical complications and/or inadequate perinatal obstetric healthcare. Surgical correction is the standard treatment. This article reviews minimally invasive surgical approaches to manage urological fistulas with a particular emphasis on the robotic techniques of fistula correction.

Recent findings In recent years, many surgeons have explored a minimally invasive approach for the management of urological fistulas. Several studies have demonstrated the feasibility of laparoscopic surgery and the reproducibility of reconstructive surgery techniques. Introduction of the robotic platform has provided significant advantages given the improved dexterity and exceptional vision that it confers.

Summary Fistulas are a concern worldwide. Laparoscopic surgery correction has been developed through the efforts of several authors, and difficulties such as the increased learning curve have been overcome with innovations, including the robotic platform. Although minimally invasive surgery offers numerous advantages, the most successful approach remains the one with the surgeon is most familiar.

aRobotic and Minimally Invasive Surgery Center, Instituto Médico La Floresta, Caracas, Venezuela

bUSC Institute of Urology, Catherine & Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA

cDepartment of Urology, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia

dUrozen, Advance Urology Center, Lima, Peru

Correspondence to Rene Sotelo, MD, Robotic and Minimally Invasive Surgery Center, Instituto Médico La Floresta, Caracas, Venezuela. Tel: +58 212 284 38 12; e-mail: renesotelo@mac.com

© 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins