of patients require no further surgeries after reconstructive surgeries
95,9 %
of patients experience no significant complications after reconstructive surgeries
97,3 %
Benefits of Dr. Sarychev's Surgery
97,3 % — without significant complications
Fistula repair surgeries are quite challenging due to local tissue reactions and or previous surgeries.
Special Features
Depending on the location of the fistula, symptoms can include difficulties during urination, involuntary urine loss, air or stool in the urine, and frequent urinary tract infections.
Symptoms
The pathological (unnatural) connections between the bladder and another organ, such as the intestine or vagina, or even externally, can be both congenital and arise after surgeries, from inflammations, or due to tumors.
Causes
Da-Vinci bladder fistula repair is a robot-assisted, minimally invasive keyhole surgery that requires special surgical expertise. Instruments are inserted under general anesthesia through small abdominal incisions and then controlled by the surgeon via a console.
Bladder
About the procedure
Uroviva Praxis, Männedorf
Consultation
Spital Männedorf
Spital Herisau
Spital Herisau
Surgery locations
no dressings, the stitches are self-dissolving
Wounds
Spinal anesthesia and/or oral painkillers
Pain
2 weeks
Catheter
2-7 days
Hospital stay
2-4 hours
Surgery time
Da Vinci, robot-assisted
Method
Treatment information
Bladder fistula repair involves the surgical elimination of a pathological connection between the urinary bladder and another organ.
Bladder fistula
repair
repair
How is the surgery performed?
Questions about the procedure
3 questions
01/
The success of the operation depends on the team’s experience and specific patient data.
During the surgery, the fistula tract is removed, the organs are closed, and own tissue such as peritoneum or an internal fat apron is inserted for healing. In bladder-intestine fistulas, a partial intestine removal is performed. The bladder should be drained with a bladder catheter for healing.
What risks should be considered?
02/
Possible side effects include new fistula formations or urinary tract infections. In cases of intestinal involvement, intestinal complications such as obstruction, leaks, and delayed activity, which may require further interventions, cannot be ruled out.
Surgery-specific risks
Previous surgeries, illnesses, or medications can affect the course of the operation and postoperative recovery. These risks are assessed individually based on the patient’s medical history.
Patient-specific risks
Every surgery carries risks such as bleeding during or after the operation, damage to adjacent organs, or wound healing problems.
General surgical risks
What happens after the surgery?
03/
After the surgery, which aims at the restoration of the urinary tract, regular follow-up examinations are essential due to the risk of new fistula formation. Moreover, a balanced diet, adequate fluid intake, exercise, and sleep support recovery and strengthen long-term health.
Surgery videos
Da-Vinci procedures by Dr. Sarychev on YouTube.
YouTube · @DrSarychev
Watch surgery videos
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