{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:27:42Z","timestamp":1787009262579,"version":"build-2736575974"},"reference-count":5,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":228,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["European J Pediatr Surg Rep."],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Vesicovaginal fistula (VVF) is rare in children and is most commonly associated with retained vaginal foreign bodies. Surgical repair is technically demanding and carries a significant risk of recurrence, which has limited the application of minimally invasive approaches. We report the first pediatric case of robot-assisted laparoscopic transvesical repair of a VVF.<\/jats:p>\n                  <jats:p>A 14-year-old girl presented with longstanding urinary incontinence, malodorous vaginal discharge, and recurrent urinary tract infections, since early childhood. Initial imaging revealed a 30-mm bladder stone. Cystoscopy identified a large infratrigonal VVF associated with the stone, which had formed around a retained plastic ring. The foreign body and stone were removed through a suprapubic cystotomy. As spontaneous fistula closure did not occur after 1 year, definitive repair was undertaken. A robot-assisted laparoscopic transvesical approach was performed following cystoscopic identification of the ureteral orifices and placement of bilateral double-J stents. The fistula was closed in two watertight layers, with separate closure of the vaginal and bladder defects using absorbable sutures (Video 1).<\/jats:p>\n                  <jats:p>No intraoperative or postoperative complications occurred. The patient was discharged on postoperative day 2. At 1-year follow-up, she remained asymptomatic, with complete fistula closure, normal urinary continence, and normal uroflowmetry findings. Robot-assisted transvesical repair provides excellent visualization and precise suturing within the confined pelvic space, representing a promising minimally invasive option for the management of complex pediatric VVF.<\/jats:p>","DOI":"10.1055\/a-2933-1909","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:08:32Z","timestamp":1787008112000},"page":"e42-e44","source":"Crossref","is-referenced-by-count":0,"title":["Robot-Assisted Laparoscopic Transvesical Closure of a Vesicovaginal Fistula: First Report in a Teenage Girl"],"prefix":"10.1055","volume":"14","author":[{"given":"Pauline","family":"Lopez","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire de Limoges, Aquitaine-Limousin-Poitou-Charentes, France","place":["Limoges"],"department":["Department of Pediatric Surgery, Service de Chirurgie Visc\u00e9rale P\u00e9diatrique"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Belgacem","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire de Limoges, Aquitaine-Limousin-Poitou-Charentes, France","place":["Limoges"],"department":["Department of Pediatric Surgery, Service de Chirurgie Visc\u00e9rale P\u00e9diatrique"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenna","family":"Houari","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire de Limoges, Aquitaine-Limousin-Poitou-Charentes, France","place":["Limoges"],"department":["Department of Pediatric Surgery, Service de Chirurgie Visc\u00e9rale P\u00e9diatrique"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier","family":"Plainard","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire de Limoges, Aquitaine-Limousin-Poitou-Charentes, France","place":["Limoges"],"department":["Service d\u2019urologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aur\u00e9lien","family":"Descazeaud","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire de Limoges, Aquitaine-Limousin-Poitou-Charentes, France","place":["Limoges"],"department":["Service d\u2019urologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6817-9946","authenticated-orcid":false,"given":"Quentin","family":"Ballouhey","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire de Limoges, Aquitaine-Limousin-Poitou-Charentes, France","place":["Limoges"],"department":["Department of Pediatric Surgery, Service de Chirurgie Visc\u00e9rale P\u00e9diatrique"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-031-72305-6_33","volume-title":"Robotic vesicovaginal fistula repair","author":"D D Thiel","year":"2025"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1016\/j.jmig.2025.06.015","article-title":"Repair of vesicovaginal fistula in 12 steps using the da Vinci surgical system","volume":"33","author":"A Dayan-Schwartz","year":"2026","journal-title":"J Minim Invasive Gynecol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1016\/S0022-5347(17)63994-6","article-title":"Repair of vesicovaginal fistula in children","volume":"92","author":"D Falk","year":"1964","journal-title":"J Urol"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1007\/s00345-024-05335-0","article-title":"Use of omentum during robotic-assisted reconstructive urological surgery: a systematic review of the current literature","volume":"42","author":"C Anderson","year":"2024","journal-title":"World J Urol"},{"issue":"08","key":"ref5","doi-asserted-by":"crossref","first-page":"1540","DOI":"10.21037\/tp-22-533","article-title":"Robot-assisted reconstructive surgery of lower urinary tract in children: a narrative review on technical aspects and current literature","volume":"12","author":"A Upasani","year":"2023","journal-title":"Transl Pediatr"}],"container-title":["European Journal of Pediatric Surgery Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2933-1909.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:08:33Z","timestamp":1787008113000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2933-1909"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":5,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2026,1,24]]},"published-print":{"date-parts":[[2026,1]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2933-1909","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2194-7619","2194-7627"],"issn-type":[{"value":"2194-7619","type":"print"},{"value":"2194-7627","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}