Robotic Assisted Laparoscopic Bladder Diverticulectomy

Myer, Edward G.; Wagner, Joseph

doi:10.1016/j.juro.2007.08.012

Cited by 82 publications

(60 citation statements)

References 19 publications

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“…Growing experience with the daVinci® robotic system allowed urologic surgeons to employ this sophisticated technology in the management of an expanding variety of urologic maladies, including bladder diverticula. The first series of robot-assisted bladder diverticulectomy (RABD) was published by Myer and Wagner [5] with promising results demonstrating its feasibility.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2016

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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.

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Section: Introductionmentioning

confidence: 99%

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

et al. 2016

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“…This has been described previously [10,11,12] but not yet in the setting of a RALBD for a tumor-containing diverticulum. In Myer et al [12] 2007, a ureteral stent was kept in situ for 6 weeks before being removed post-cystogram confirming no extravasation. Renal and bladder ultrasound was then done at 3, 6 and 12 months.…”

Section: Discussionmentioning

confidence: 56%

Robot-Assisted Laparoscopic Bladder Diverticulectomy and Ureteral Re-Implantation for a Diverticulum Containing High Grade Transitional Cell Carcinoma

et al. 2015

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We present a case of an 84-year-old man presenting with painless visible hematuria. Further investigation revealed a primary G3pT1 transitional cell carcinoma confined to a bladder diverticulum. In view of bladder-sparing therapy, he underwent a robot-assisted laparoscopic bladder diverticulectomy with ureteral re-implantation. This report demonstrates a minimally invasive approach offering radical treatment without having to recur to partial or radical cystectomy. We discuss the operative steps, the significance of this case with a review of the literature, and the future potential this may represent for the treatment of tumor-containing bladder diverticula.

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“…Our experience with robotic surgery for prostate cancer, kidney cancer, and ureteropelvic junction stricture acclimmated us to controlling the instruments and practicing suture techniques before performing RLPC. RLPC was initially performed in cases of bladder diverticulum [15,16]. Myer et al reported their initial experiences of 5 serial cases of robot-assisted bladder diverticulectomy, and a similar report was published by Meeks et al about robot-assisted bladder diverticulectomy in pediatric patients [15,16].…”

Section: Discussionmentioning

confidence: 97%

“…RLPC was initially performed in cases of bladder diverticulum [15,16]. Myer et al reported their initial experiences of 5 serial cases of robot-assisted bladder diverticulectomy, and a similar report was published by Meeks et al about robot-assisted bladder diverticulectomy in pediatric patients [15,16]. According to those reports, perioperative surgical outcomes were comparable with those of conventional laparoscopic and open diverticulectomy.…”

Section: Discussionmentioning

confidence: 98%

31 The initial experience of robotic-assisted laparoscopic partial cystectomy in urachal diseases

Kim¹,

Kwon²,

Park³

et al. 2010

European Urology Supplements

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Robotic Assisted Laparoscopic Bladder Diverticulectomy

Abstract: Robotic assisted laparoscopic bladder diverticulectomy is safe and effective for patients with a large bladder diverticulum and small prostate. Perioperative surgical outcomes rival those of previously reported open, endoscopic and laparoscopic diverticulectomies.

Cited by 82 publications

References 19 publications

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

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

Robot-Assisted Laparoscopic Bladder Diverticulectomy and Ureteral Re-Implantation for a Diverticulum Containing High Grade Transitional Cell Carcinoma

31 The initial experience of robotic-assisted laparoscopic partial cystectomy in urachal diseases

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