Both robotic-assisted and open approaches provide high and comparable success rates for genitourinary fistula repair. The robotic approach was used more often in complex cases, with higher flap utilisation and slightly greater blood loss, but without compromising overall outcomes. The choice of approach should be guided by patient factors, fistula complexity and available surgical expertise, and larger prospective studies are needed to confirm these findings.
Patel et al. (Mon,) studied this question.