Robot-Assisted Bladder Diverticulectomy with Concurrent Management of Bladder Outlet Obstruction.

Abstract:

INTRODUCTION:Robot-assisted bladder diverticulectomy (RABD) through a technique for easier identification of diverticulum along with concomitant management of bladder outlet obstruction (BOO) utilizing a combination of transurethral prostatectomy (TUR-P) and photoselective vaporization of prostate (PVP) is presented. MATERIALS AND METHODS:Between 2008 and 2015, 9 patients underwent RABD with concurrent treatment of BOO. Diverticula were identified by a technique of catheterizing the diverticulum and the bladder simultaneously and individually. RESULTS:Mean patient age was 62 ± 9.8 and prostate volume was 70 ± 26 ml. Mean time for endourological procedure was 77 ± 35, mean console and total operative times were 108 ± 38 and 186 ± 56 min, respectively. Mean estimated blood loss was 71 ± 37 ml. All diverticula were excised and BOO treated successfully. Bladder irrigation was not necessary in any patient. Mean hospitalization and catheter removal time was 5 ± 3 and 8 ± 3 days, respectively. No complications were observed. CONCLUSIONS:BOO is the main cause of acquired bladder diverticula and is largely due to benign prostatic hyperplasia. Concomitant performance of TUR-P and PVP along with RABD is feasible and safe. Individual catheterization of the diverticulum and bladder facilitates the identification of diverticulum even in the presence of multiple diverticula.

journal_name

Urol Int

journal_title

Urologia internationalis

authors

Tufek I,Mourmouris P,Argun OB,Öbek C,Keskin MS,Akpinar H,Atug F,Kural AR

doi

10.1159/000443799

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

432-7

issue

4

eissn

0042-1138

issn

1423-0399

pii

000443799

journal_volume

96

pub_type

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