Quality of life, voiding & sexual dysfunction following robot-assisted vesicovaginal fistula repair: a tertiary care centre experience

Robot-assisted VVF (RA-VVF) repair has the advantage of small cystotomy, precise dissection and minimal surrounding tissue trauma. Translation of this to better functional outcomes is not studied so far. This study aims to evaluate the quality of life, voiding, and sexual dysfunction following robot...

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Bibliographic Details
Published in:Journal of robotic surgery 2023-08, Vol.17 (4), p.1769-1776
Main Authors: Kaundal, P., Mavuduru, R. S., Bora, G. S., Mete, U. K., Singh, S. K.
Format: Article
Language:English
Subjects:
Bladder
Catheters
Female
Females
Fistula
Humans
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Obstetrics
Prospective Studies
Quality of Life
Questionnaires
Retrospective Studies
Robotic Surgical Procedures - methods
Robotics
Robots
Sexual disorders
Sexual Dysfunction, Physiological - etiology
Statistical analysis
Surgery
Tertiary Care Centers
Treatment Outcome
Urinary incontinence
Urology
Vagina
Vesicovaginal Fistula - etiology
Vesicovaginal Fistula - surgery
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Summary:Robot-assisted VVF (RA-VVF) repair has the advantage of small cystotomy, precise dissection and minimal surrounding tissue trauma. Translation of this to better functional outcomes is not studied so far. This study aims to evaluate the quality of life, voiding, and sexual dysfunction following robot-assisted VVF repair. Women with successful RA-VVF repair were screened using UDI-6, IIQ-7, FSFI, and WHOQOL-BREF questionnaires. The preoperative assessment was done in the prospective cohort only. Of the 75 women who underwent RA-VVF repair, 47 were enrolled, 33 in retrospective, and 14 in a prospective cohort. Overall, 28 (60%) women had urinary complaints with a median UDI-6 total score of 4 (0–100) and  IIQ-7 score (0–23) in 5 (10%) women. However, UDS (15 women) showed no DO with cystometric capacity (352 ± 98.12) ml and normal compliance in 14 (93%) women. Mean BOOI and DCI were 11.90 ± 7.01 and 44.25 ± 8.60 respectively, with PdetQmax ranging from 17 to 44. None had difficulty in voiding (Qmax 13.85 ± 4.90). Twenty (43%) women were sexually active, and 2 had sexual dysfunction (FSFI score  90) except for the social domain. The prospective cohort showed significant improvement in UDI-6 score (p 
ISSN:1863-2491
1863-2483
1863-2491
DOI:10.1007/s11701-023-01599-7