Robotic-assisted laparoscopic repair of a congenital rectourethral fistula with duplicated urethra.

To describe our experience with robot-assisted laparoscopic transperitoneal repair of a congenital rectourethral fistula in a pediatric patient with a urethral duplication.

The patient is a 2-year-old male with a past medical history of Tetralogy of Fallot presenting with a febrile urinary tract infection (UTI). He was diagnosed with urethral duplication and a rectourethral fistula by voiding cystourethrogram (VCUG). The parents were counseled on various options and agreed to proceed with a robotic repair.

Robotic-assisted transperitoneal rectourethral fistula repair was performed. The procedure time was 229 min with an estimated blood loss (EBL) of 15 mL. His postoperative course was unremarkable. At his 2-week follow-up, the urethral catheter was removed and the patient was voiding normally and having normal bowel movements.

Congenital rectourethral fistula with urethral duplication is a rare anomaly with only a few reports in the literature. Pediatric robotic-assisted transperitoneal rectourethral fistula repair is a technically feasible approach in infants with minimal morbidity that allows for excellent visualization and avoids open repair.

Journal of pediatric urology. 2022 Apr 22 [Epub ahead of print]

Rohan G Bhalla, Belinda Li, Mark C Adams, Wallace W Neblett, John C Thomas

Department of Urology, Vanderbilt University Medical Center, 1161 21st Ave. South, A-1302 Medical Center North, Nashville, TN 37232, USA. Electronic address: ., Monroe Carell Jr. Children's Hospital at Vanderbilt, Division of Pediatric Urology, Nashville, TN, 37232, USA; Columbia University Irving Medical Center, Department of Urology, New York, NY 10032, USA. Electronic address: ., Monroe Carell Jr. Children's Hospital at Vanderbilt, Division of Pediatric Urology, Nashville, TN, 37232, USA. Electronic address: ., Monroe Carell Jr. Children's Hospital at Vanderbilt, Division of Pediatric Surgery, Nashville, TN, 37232, USA. Electronic address: ., Monroe Carell Jr. Children's Hospital at Vanderbilt, Division of Pediatric Urology, Nashville, TN, 37232, USA. Electronic address: .

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