A vesicovaginal fistula which is an abnormal communication between the bladder and vagina, which leads to continuous urine leakage through the vagina. Most common causes for such fistulas are obstructed labour and hysterectomy in the developing and developed countries respectively. If not diagnosed promptly, it can lead to severe psychological stress to the patient and social stigmata. If not treated properly can lead to recurrent fistula formation and significant morbidity.

Vesicovaginal fistula repairs done robotically has several advantages, including working in a narrow space, severe post op adhesions, faster post-op recovery and recurrence free if done properly. We identify the tract by doing intraop cystoscopy and place a 5fr RGC catheter through the fistula and fix it. All our patient underwent transperitoneal VVF repair under HUGO RAS robotic system. Instead of bivalving the bladder to identify the tract, we dissect the plane between bladder and vagina and identify the tract via RGC. Once identified, adequate plane created between bladder and vagina for separate closure and omental wrapping.

No intra-operative/ post operative complications. Patients were discharged on day 1 and drain was removed on day 7-10. Post operative follow up, patients were recurrence free at 3, 6 month follow up.

Robotic VVF repair in HUGO robot using Chennai technique is safe and effective. This surgery improves patients quality of life and reduces the stress and burden on both the patient and the surgeon.