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Outcomes were operative time (OT), estimated blood loss\u00a0(EBL), postoperative complication (POC), recurrence rate, length of hospitalization\u00a0(LOS), and urethral catheterization time (CT). Statistical analysis was conducted to determine overall and subgroup-specific outcomes and compare techniques for statistically significant differences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fourteen studies (206 patients) met the inclusion criteria. Combined mean OT was 169.0\u00a0\u00b1\u00a069.5 min, with minimal blood loss across all studies (14\u201390\u00a0ml). Overall POC and recurrence rates were low (4.37% and 2.91% respectively), with major complications at 0.97%. No significant differences were found between surgical approaches. Most studies reported hospital stays under 5 days, although CTs varied. Two case series on recurrent VVF reported 100% success, no complications or recurrences, low blood loss, and shorter OTs, supporting the safety and efficacy of robotics-assisted repair in complex cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Robotics-assisted VVF repair was found to be a safe, effective, reproducible technique, with low complication and recurrence rates, minimal blood loss, and short hospital stays. No statistically significant difference was found between techniques. The findings also support robotics-assisted surgery as an especially valuable option in recurrent cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-026-06578-8","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T10:59:10Z","timestamp":1775127550000},"page":"3167-3180","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Vesicovaginal Fistula Robotics-Assisted Repair: A Systematic Review and Quantitative Synthesis"],"prefix":"10.1007","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3398-5093","authenticated-orcid":false,"given":"Miguel","family":"Tavares","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"do Carmo Pinto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gon\u00e7alo","family":"Conde Carvalho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Silva-Ramos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"issue":"5","key":"6578_CR1","doi-asserted-by":"publisher","DOI":"10.3892\/etm.2022.11582","volume":"24","author":"S Niu","year":"2022","unstructured":"Niu S, Li Y, Tu S, Niu S, Qian J, Yang F, et al. 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