ČESKÁ UROLOGIE / CZECH UROLOGY – 1 / 2020

17 VIDEO Ces Urol 2020; 24(1): 15–17 of hospital stay was 12 (6–19) days. The average catheterization time was 12 (9–18) days. We inten‑ tionally left an indwelling catheter in place for 12 days initially, sometimes even longer for a sense of security, and based on the surgeon’s decision, decreased the catheterization time gradually. On day 11, one of the patients pulled out her catheter accidentally and experienced bleeding; thus, the catheter was left in place for additional 7 days. No early or late postoperative complications were noted in any of the patients. All the patients un‑ derwent follow-up cystoscopy at three months after surgery and no fistula recurrence was ob‑ served in any of them. We performed this on a routine basis to check the general condition and capacity of the bladder, as well as the status of the scar and ureteral orifices. Conclusion: In developed countries, a vesico‑ vaginal fistula occurs as a complication following gynaecological surgery for benign disease in 80%, due to obstetric trauma in 10%, after radiotherapy in 5%, and as a complication of gynaecological on‑ cological surgery in 5%. Given the increasing num‑ ber of gynaecological procedures, complications will certainly be on the rise and their management will require adequate care. The robotic approach is among the most up-to-date methods, allowing for a more rapid and accurate surgical procedure and reducing the recovery time. Our five-year results show a 100% efficacy of this method in patients with a fistula due to previous surgery. KEY WORDS Vesicovaginal fistula, robotic surgery. Soutěž ČUS o nejlepší video publikované v časopise Česká urologie Soutěž ČUS Všechna videa publikovaná v časopise Česká urologie v roce 2020 budou do soutěže zařazena automaticky Podmínkou zařazení je, že první autor bude urolog Vítězné práce budou vyhlášeny na Výroční konferenci ČUS 2021 Následně budou výsledky zveřejněny v časopisu Česká urologie a na webových stránkách ČUS 2020