Abstract
We aim to outline our technique of performing a robotic-assisted bladder diverticulectomy at our institution and report our surgical outcomes. We report the cases of three robotic-assisted bladder diverticulectomies, performed at the Royal Surrey County Hospital during the period of January 2014 to December 2015. Patient was positioned in low dorsal lithotomy position. A 6Fr double-J stent was prophylactically inserted at the start of the procedure. Foley catheter was placed over guide wire into the diverticulum and balloon inflated on the diverticulum neck. We used a transperitoneal extravesical approach to mobilise the distended bladder diverticulum, dissected en bloc and transected at the diverticulum neck in all cases. The bladder was closed in two layers with absorbable sutures. The procedures were uneventful, without post-operative complications and minimal blood loss. The median length of stay was 3 days and all three patients reported a significant improvement in all symptoms with non-significant post-void residuals. Robotic-assisted bladder diverticulectomy is a safe and effective procedure that results in both symptom relief and minimal post-void residuals.
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References
McLean P, Kelalis PP (1968) Bladder diverticulum in the male. Br J Urol 40:321–324
Myer EG, Wagner JR (2007) Robotic assisted laparoscopic bladder diverticulectomy. J Urol 178(6):2406–2410
Mmeje C, Michli E, Parra R (2008) Robotic-assisted laparoscopic bladder diverticulectomy and concomitant ureteral re-implantation: initial clinical experience. J Robot Surg 2:265–267
Iselin CE, Winfield HN, Rohner S, Graber P (1996) Sequential laparoscopic bladder diverticulectomy and transurethral resection of the prostate. J Endourol 10(6):545–549
Ploumidis A, Skolarikos A, Sopilidis O (2013) Sequential robotic-assisted bladder diverticulectomy and radical prostatectomy. Technique and review of the literature. Int J Surg Case Rep 4(1):81–84
Altunrende F, Autorino R, Patel N et al (2011) Robotic bladder diverticulectomy: technique and surgical outcomes. Int J Urol 18(4):265–271
Moore CR, Shirodkar SP, Avallone MA et al (2012) Intravesical methylene blue facilitates precise identification of the diverticular neck during robot-assisted laparoscopic bladder diverticulectomy. J Laparoendosc Adv Surg Tech 22(5):492–495
Rebouças RB, Monteiro RC, Souza TN et al (2014) Laparoscopic bladder diverticulectomy assisted by cystoscopic transillumination. Int Braz J Urol 40(2):281–282
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Annelisse Ashton, Ricardo Soares, Venkata Ramana Murthy Kusuma, Dimitrios Moschonas, Matthew Perry and Krishna Patil declare that they have no conflict of interest.
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Written informed consent was obtained from all patients for publication of this case report/any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
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Ashton, A., Soares, R., Kusuma, V.R.M. et al. Robotic-assisted bladder diverticulectomy: point of technique to identify the diverticulum. J Robotic Surg 13, 163–166 (2019). https://doi.org/10.1007/s11701-018-0788-3
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DOI: https://doi.org/10.1007/s11701-018-0788-3