Exploring robot-assisted vesicovaginal fistula repair: two case reports and a narrative literature review

Background.Vesicovaginal fistula (VVF) is a rare occurrence in Western countries, primarily resulting from iatrogenic injuries.Surgical repair becomes necessary when M a n u s c r i p t a c c e p t e d f o r p u b l i c a t i o n 2 conservative management fails, However, timing and surgical approaches (vaginal, laparotomic, laparoscopic, robot-assisted) are still under debate.Case presentation.We aim to present two case reports with a step-by-step description of the adopted robot-assisted surgical approach for the VVFs repair, highlighting its feasibility in primary and recurrent cases, along with a narrative literature review of previously described robot-assisted managed VVF cases. Conclusions.Robot-assisted VVFs surgical repair represents a state-of-the-art treatment, combining advanced technology with surgical expertise to achieve optimal postoperative out-comes.In our experience, it is feasible, safe, effective, and represents a viable approach, especially in complex cases.