{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T00:41:15Z","timestamp":1775176875885,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,10,23]],"date-time":"2014-10-23T00:00:00Z","timestamp":1414022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2015,3]]},"abstract":"\n Objective<\/jats:title>\n \n To evaluate the utility of robotic repair of injuries to the ureter or bladder from obstetrical and gynaecological (\n OBGYN<\/jats:styled-content>\n ) surgery\n <\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n A retrospective review of all patients from four different high\u2010volume institutions between 2002 and 2013 that had a robot\u2010assisted (\n RA<\/jats:styled-content>\n ) repair by a urologist after an\n OBGYN<\/jats:styled-content>\n genitourinary injury.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Of the 43\n OBGYN<\/jats:styled-content>\n operations, 34 were hysterectomies: 10 open, 10\n RA<\/jats:styled-content>\n , nine vaginally, and five pure laparoscopic. Nine patients had alternative\n OBGYN<\/jats:styled-content>\n operations: three caesarean sections, three oophorectomies (one open, two laparoscopic), one\n RA<\/jats:styled-content>\n colpopexy, one open pelvic cervical cerclage with mesh and one\n RA<\/jats:styled-content>\n removal of an invasive endometrioma. In all, 49 genitourinary (\n GU<\/jats:styled-content>\n ) injuries were sustained: ureteric ligation (26), ureterovaginal fistula (10), ureterocutaneous fistula (one), vesicovaginal fistula (\n VVF<\/jats:styled-content>\n ; 10) and cystotomy alone (two). In all, 10 patients (23.3%) underwent immediate urological repair at the time of their\n OBGYN RA<\/jats:styled-content>\n surgery. The mean (range) time between\n OBGYN<\/jats:styled-content>\n injury and definitive delayed repair was 23.5 (1\u2013297) months. Four patients had undergone prior failed repair: two open\n VVF<\/jats:styled-content>\n repairs and two balloon ureteric dilatations with stent placement. In all, 22 ureteric re\u2010implants (11 with ipsilateral psoas hitch) and 15 uretero\u2010ureterostomies were performed. Stents were placed in all ureteric cases for a mean (range) of 32 (1\u201363) days. In all, 10\n VVF<\/jats:styled-content>\n repairs and two primary cystotomy closures were performed. Drains were placed in 28 cases (57.1%) for a mean (range) of 4.1 (1\u201326) days. No case required open conversion. Two patients (4.1%) developed ureteric obstruction after\n RA<\/jats:styled-content>\n repair requiring dilatation and stenting. The mean (range) follow\u2010up of the entire cohort was 16.6 (1\u201363) months.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n RA<\/jats:styled-content>\n repair of\n GU<\/jats:styled-content>\n injuries during\n OBGYN<\/jats:styled-content>\n surgery is associated with good outcomes, appears safe and feasible, and can be used successfully immediately after injury recognition or as a salvage procedure after prior attempted repair.\n RA<\/jats:styled-content>\n techniques may improve convalescence in a patient population where quick recovery is paramount.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.12785","type":"journal-article","created":{"date-parts":[[2014,4,21]],"date-time":"2014-04-21T07:34:37Z","timestamp":1398065677000},"page":"430-436","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Robotic management of genitourinary injuries from obstetric and gynaecological operations: a multi\u2010institutional report of outcomes"],"prefix":"10.1111","volume":"115","author":[{"given":"Paul T.","family":"Gellhaus","sequence":"first","affiliation":[{"name":"Department of Urology Indiana University Indianapolis IN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akshay","family":"Bhandari","sequence":"additional","affiliation":[{"name":"Division of Urology Columbia University at Mount Sinai Miami Beach FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5521-5250","authenticated-orcid":false,"given":"M. Francesca","family":"Monn","sequence":"additional","affiliation":[{"name":"Department of Urology Indiana University Indianapolis IN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas A.","family":"Gardner","sequence":"additional","affiliation":[{"name":"Department of Urology Indiana University Indianapolis IN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prashanth","family":"Kanagarajah","sequence":"additional","affiliation":[{"name":"Division of Urology Columbia University at Mount Sinai Miami Beach FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher E.","family":"Reilly","sequence":"additional","affiliation":[{"name":"Department of Urology Temple University Philadelphia PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elton","family":"Llukani","sequence":"additional","affiliation":[{"name":"Department of Urology Temple University Philadelphia PA 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