Watanabe Risako, Kamei Jun, Yamazaki Masahiro, Sugihara Toru, Fujimura Tetsuya
Urology, Jichi Medical University Hospital, Tochigi, JPN.
Urology, The University of Tokyo Hospital, Tokyo, JPN.
Cureus. 2024 Jul 24;16(7):e65234. doi: 10.7759/cureus.65234. eCollection 2024 Jul.
An 89-year-old woman was diagnosed with vesicovaginal fistula (VVF) during transurethral surgery for repeated bladder cancer recurrences. She was referred to our hospital for the treatment of VVF and pT1 invasive bladder cancer. Typical radical cystectomy procedures incising the vaginal wall are not suitable for her because of the high risk of disseminating tumors. Robot-assisted radical cystectomy with resection of the bladder, uterus, ovaries, and vagina was successfully performed without urine extravasation by dissecting the rectovaginal space to the pelvic floor, referencing the robot-assisted sacrocolpopexy technique. No evidence of recurrence was noted within 10 months after surgery.
一名89岁女性在因复发性膀胱癌进行经尿道手术期间被诊断出患有膀胱阴道瘘（VVF）。她因膀胱阴道瘘和pT1期浸润性膀胱癌被转诊至我院治疗。由于肿瘤播散风险高，切开阴道壁的典型根治性膀胱切除术不适合她。参照机器人辅助骶骨阴道固定术技术，通过将直肠阴道间隙解剖至盆底，成功实施了机器人辅助根治性膀胱切除术，切除膀胱、子宫、卵巢和阴道，无尿液外渗。术后10个月内未发现复发迹象。
