This video abstract outlines a case study involving a 53-year-old female patient who underwent robotic repair for a vesicovaginal fistula. Vesicovaginal fistulas pose significant challenges, often leading to considerable morbidity and impacting patients' quality of life. Surgical intervention, particularly through robotic-assisted techniques, has emerged as an effective treatment approach. This video aims to illustrate the surgical methodology, outcomes, and implications associated with robotic repair for vesicovaginal fistulas.

The patient, with a history of hysterectomy and urinary incontinence, presented with a vesicovaginal fistula confirmed via imaging studies. Surgical intervention was conducted using a robotic-assisted approach, facilitating precise dissection and repair of the fistulous tract. Key procedural steps included adhesiolysis, identification and excision of the fistula, and meticulous closure of bladder and vaginal tissues. Postoperative management involved monitoring for complications and assessing the success of the repair.

The robotic repair procedure successfully resolved the vesicovaginal fistula, as confirmed by postoperative imaging studies. The patient experienced alleviation of urinary symptoms and expressed satisfaction with the surgical outcome. Follow-up assessments revealed no evidence of recurrence or complications related to the repair. Furthermore, the patient maintained satisfactory bladder capacity and urinary continence, leading to an overall improvement in quality of life.

In conclusion, robotic repair represents a viable and effective approach for managing vesicovaginal fistulas. This case study underscores the utility of robotic-assisted techniques in achieving favorable outcomes with minimal morbidity. By enabling precise dissection, optimal tissue closure, and enhanced visualization, robotic surgery offers advantages in addressing complex urological conditions such as vesicovaginal fistulas. Further research and larger-scale studies are warranted to validate the long-term efficacy and safety of robotic repair in this patient cohort.