AI Article Synopsis
- Bladder diverticula in older adults usually result from bladder outlet obstruction and are commonly treated alongside prostate issues using bladder diverticulectomy.
- The reported study involved three patients who successfully underwent bladder diverticulectomy through a single cystotomy during robot-assisted laparoscopic radical prostatectomy, which minimizes complications and reduces surgery time.
- The technique utilized a transvesical approach via the bladder neck for diverticula that are easily visible, making it a practical option compared to other methods that might require more invasive surgery.
Article Abstract
Introduction: As bladder diverticula in older adults are often secondary to bladder outlet obstruction, bladder diverticulectomy is often performed with prostate treatment. Cases of sequentially performed robot-assisted bladder diverticulectomy and prostatectomy have been reported; however, performing cystotomy for each procedure may increase the risk of complications and prolong operative time.
Materials And Surgical Technique: We reported the cases of three patients who underwent diverticulectomy without additional cystotomy via the bladder opening during robot-assisted laparoscopic radical prostatectomy in our hospital.
Discussion: This technique corresponds to a transvesical approach through the bladder neck opening. Hence, it is especially useful for well-visualized diverticula close to the ureteral orifice or on the posterior wall. Although other approaches may be better depending on the location of the diverticulum, it is considered a reasonable approach that does not require an additional cystotomy.
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| http://dx.doi.org/10.1111/ases.13318 | DOI Listing |
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