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A Vesicovaginal fistula (VVF) is a rare, but devastating complication to women after pelvic surgery. The impact extends to medical, physical, mental, social and sexual aspects of the patients. The predominant cause in industrialized countries is iatrogenic injury to the urinary tract. Other main causes include malignant disease and pelvic irradiation. Treatment is dictated by the magnitude of the fistula, ranging from conservative management, including prolonged bladder drainage, glue/fibrin injections, fulguration to surgical repair. Different surgical techniques have been reported in literature. In salvage attempts to repair, the use of flap is recommended. In the present study we demonstrate the feasibility of vesicovaginal fistula repair with harvesting of rectus abdominals flap by a robotic approach

V10-02 ROBOT-ASSISTED VESICOVAGINAL FISTULA REPAIR WITH RECTUS ABDOMINALS FLAP: DESCRIPTION OF THE TECHNIQUE