Robotic approach to vesicourethral anastomotic stenosis and resection of remaining prostate after radical prostatectomy

Capibaribe, Diego Moreira; Avilez, Natália Dalsenter; Sacomani, Carlos Alberto Ricetto; Lucena, Alexandre Sá Pinto da Nóbrega; Reis, Leonardo Oliveira

doi:10.1590/s1677-5538.ibju.2022.0249

Int. braz j urol.

2023

DOI: 10.1590/s1677-5538.ibju.2022.0249

|View full text |Cite

Robotic approach to vesicourethral anastomotic stenosis and resection of remaining prostate after radical prostatectomy

Diego Moreira Capibaribe

Natália Dalsenter Avilez

Carlos Alberto Ricetto Sacomani

et al.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2023

Publication Types

Select...

Article2

Relationship

Self Cite0

Independent2

Authors

Journals

Cited by 2 publications

(1 citation statement)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… ABSTRACT

…”

mentioning

confidence: 99%

Different approaches for bladder neck dissection during robot-assisted radical prostatectomy: the Aalst technique

et al. 2023

View full text Add to dashboard Cite

Introduction: Bladder neck dissection is one of the most delicate surgical steps of robotic-assisted radical prostatectomy (RARP) [ 1 , 2 ], and it may affect surgical margins rate and functional outcomes [ 3 , 4 ]. Given the relationship between outcomes and surgical experience [ 5 – 7 ], it is crucial to implement a step-by-step approach for each surgical step of the procedure, especially in the most challenging part of the intervention. In this video compilation, we described the techniques for bladder neck dissection utilized at OLV Hospital (Aalst, Belgium). Surgical Technique: We illustrated five different techniques for bladder neck dissection during RARP. The anterior technique tackles the bladder neck from above until the urethral catheter is visualized, and then the dissection is completed posteriorly. The lateral and postero-lateral approaches involve the identification of a weakness point at the prostate-vesical junction and aim to develop the posterior plane – virtually until the seminal vesicles – prior to the opening of the urethra anteriorly. Finally, we described our techniques for bladder neck dissection in more challenging cases such as in patients with bulky middle lobes and prior surgery for benign prostatic hyperplasia. All approaches follow anatomic landmarks to minimize positive surgical margins and aim to preserve the bladder neck in order to promote optimal functional recovery. All procedures were performed with DaVinci robotic platforms using a 3-instruments configuration (scissors, fenestrated bipolar, and needle driver). As standard protocol at our Institution, urinary catheter was removed on postoperative day two [ 8 ]. Conclusions: Five different approaches for bladder neck dissection during RARP were described in this video compilation. We believe that the technical details provided here might be of help for clinicians who are starting their practice with this surgical intervention.

show abstract

“… ABSTRACT

…”

mentioning

confidence: 99%

Different approaches for bladder neck dissection during robot-assisted radical prostatectomy: the Aalst technique

et al. 2023

View full text Add to dashboard Cite

show abstract

Refractory Bladder Neck Contracture (BNC) After Radical Prostatectomy: Prevalence, Impact and Management Challenges

Uguzova,

Beisland,

Honoré

et al. 2023

RRU

View full text Add to dashboard Cite

Bladder neck contracture is a recognised complication associated with radical prostatectomy. The management can be challenging, especially when refractory to initial intervention strategies. For the patient, the burden of disease is high and continence status cannot be overlooked. This review serves to provide an overview of the management of this recognised clinical pathology. Consideration needs to be given to minimally invasive approaches such as endoscopic incision, injectables, implantable devices as well as major reconstructive surgery where the condition persists. For the latter, this can involve open and robotic surgery as well as use of grafts and artificial sphincter surgery. These elements underline the need for a tailored and a patient centred approach.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Robotic approach to vesicourethral anastomotic stenosis and resection of remaining prostate after radical prostatectomy

Cited by 2 publications

References 12 publications

Different approaches for bladder neck dissection during robot-assisted radical prostatectomy: the Aalst technique

Different approaches for bladder neck dissection during robot-assisted radical prostatectomy: the Aalst technique

Refractory Bladder Neck Contracture (BNC) After Radical Prostatectomy: Prevalence, Impact and Management Challenges

Contact Info

Product

Resources

About