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Chinese Journal of Endourology(Electronic Edition) ›› 2026, Vol. 20 ›› Issue (02): 226-230. doi: 10.3877/cma.j.issn.1674-3253.2026.02.017

• Case Report • Previous Articles    

Robotic surgery for cecovesical fistula: a case report and literature review

Zhiyi Chen, Enpu Zhang, Ping Dai, Ganggang Jiang, Lu Gan, Mou Huang, Wenjuan Zhang, Jianggen Yang, Guixiao Huang()   

  1. Department of Urology, the Third Affiliated Hospital of Shenzhen University, Shenzhen Luohu Hospital Group Luohu People's Hospital, Shenzhen 518000, China
  • Received:2025-01-22 Online:2026-04-01 Published:2026-03-10
  • Contact: Guixiao Huang

Abstract:

Objective

To report a case of cecovesical fistula, summarize its clinical features and review the literature.

Methods

The clinical data of a 67-year-old female patient with cecovesical fistula in the Department of Urology of our hospital in August 2024 were retrospectively analyzed. Relevant literature was consulted to analyze and summarize this type of disease.

Results

The patient presented with fecal-like material during urination and had a history of ascariasis, including expulsion of worms via the urethra. Robot-assisted laparoscopic partial bladder and partial cecal resection were conducted using the Da Vinci system. Postoperative pathology revealed chronic inflammation of the mucosa in the cecovesical fistula tissue.

Conclusion

Cecovesical fistula is a relatively rare clinical condition that often requires a comprehensive evaluation combining patient symptoms, signs, and relevant imaging data for diagnosis. Surgical intervention is usually necessary for treatment.

Key words: Robotic surgery, Enterovesical fistula, Laparoscope, Cecum, Bladder

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