Robotic platform rebuilds bladder neck and repairs rectal fistula in single prostatectomy complication case
Robot Surgery Rebuilds Bladder Neck and Repairs Rectal Fistula After Prostatectomy
A Da Vinci system assisted surgeons to reconstruct a new bladder neck and close a vesicorectal fistula in one patient. One year later, the patient showed normal urination, continence, and no recurrence of complications. This single-case report published in BMC Urology indicates feasibility but does not establish general success rates or long-term durability.
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Publisher-reported claims, with original evidence. These results have not been independently verified by RoboSignal.
Reported numbers
peak urine flow
24.5
View original evidence
Surgeons in China have reported a single-case operation in which a robotic platform was used to rebuild a patient’s bladder neck and close an abnormal connection between the bladder and rectum at the same time. The 59-year-old man had developed both problems after radical prostatectomy. One year after the combined repair, he was passing urine normally, was continent, and had a measured peak urine flow of 24.5 millili
Open source S2peak urine flow
24.5
View original evidence
voided normally and maintained urinary continence, with a Qmax of 24.5 millilitres per second, a value within the range expected for unobstructed urination. No recurrence of the stricture or the fistula was documented, and no complications were reported. The authors conclude that robot-assisted transabdominal bladder neck reconstruction combined with vesicorectal fistula repair is a feasible and effective minimally
Open source S8millilitres per second
24.5
View original evidence
voided normally and maintained urinary continence, with a Qmax of 24.5 millilitres per second, a value within the range expected for unobstructed urination. No recurrence of the stricture or the fistula was documented, and no complications were reported. The authors conclude that robot-assisted transabdominal bladder neck reconstruction combined with vesicorectal fistula repair is a feasible and effective minimally
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- paper: not_reported
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Automatically extracted; no manual editorial approval recorded.
Surgeons in China have reported a single-case operation in which a robotic platform was used to rebuild a patient’s bladder neck and close an abnormal connection between the bladder and rectum at the same time. The 59-year-old man had developed both problems after radical prostatectomy. One year after the combined repair, he was passing urine normally, was continent, and had a measured peak urine flow of 24.5 millili
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voided normally and maintained urinary continence, with a Qmax of 24.5 millilitres per second, a value within the range expected for unobstructed urination. No recurrence of the stricture or the fistula was documented, and no complications were reported. The authors conclude that robot-assisted transabdominal bladder neck reconstruction combined with vesicorectal fistula repair is a feasible and effective minimally
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neck, the diseased structure was abandoned entirely. A new bladder neck was created on the anterior bladder wall, and this freshly constructed outlet was joined to the urethra in a tension-free anastomosis, meaning the connection is made without pulling or stretch on the suture line, a principle regarded as important for healing and for reducing the risk that the join narrows again. At one-year follow-up, the patient
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invasive option for this difficult post-prostatectomy condition. The evidence behind that conclusion has clear limits. This is a single case report, published as an accepted manuscript shared early and subject to further edits before the final version of record. A favourable outcome in one patient demonstrates feasibility in that patient; it does not establish how often the technique would succeed across a wider popu
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lation, how it compares with alternative strategies, or which patients are suitable candidates. Longer-term durability also remains an open question for future cases to address. Subject of Research: Robotic bladder neck reconstruction with vesicorectal fistula repair after radical prostatectomy Article Title: Robot-assisted bladder neck reconstruction for vesicourethral anastomotic stricture complicated with vesicore
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ctal fistula after radical prostatectomy: a case report Article References: Pan, Y., Ni, K., Huang, J., & Song, L. (2026). Robot-assisted bladder neck reconstruction for vesicourethral anastomotic stricture complicated with vesicorectal fistula after radical prostatectomy: a case report. BMC Urology . https://doi.org/10.1186/s12894-026-02314-y Image Credits: AI Generated DOI: 10.1186/s12894-026-02314-y Keywords: radi
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cal prostatectomy, vesicourethral anastomotic stricture, vesicorectal fistula, robotic surgery, bladder neck reconstruction, Da Vinci robotic system, urinary continence, case report, BMC Urology, minimally invasive surgery, Robot-assisted, bladder
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