V11-07 Transvesical Single Port Simple Prostatectomy With Bladder Mucosal Advancement

You have accessJournal of UrologyBPH/Male Voiding Dysfunction/Infection/Misc. Imaging (V11)1 May 2024V11-07 TRANSVESICAL SINGLE PORT SIMPLE PROSTATECTOMY WITH BLADDER MUCOSAL ADVANCEMENT Christopher R. Wanderling, Victor Sandoval, Timothy Campbell, Stephen Hassig, Aaron Saxton, Olga Osores, Thomas Osinski, and Jean V. Joseph Christopher R. WanderlingChristopher R. Wanderling , Victor SandovalVictor Sandoval , Timothy CampbellTimothy Campbell , Stephen HassigStephen Hassig , Aaron SaxtonAaron Saxton , Olga OsoresOlga Osores , Thomas OsinskiThomas Osinski , and Jean V. JosephJean V. Joseph View All Author Informationhttps://doi.org/10.1097/01.JU.0001009368.07681.43.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Urologic applications of the single port (SP) robot continue to evolve with a variety of procedures described using this platform. The transvesical route is a recently described approach to simple prostatectomy using the SP Robot to manage symptomatic benign prostatic hyperplasia (BPH). In this video we describe our SP robotic simple prostatectomy technique, modified with a bladder mucosal advancement flap, obliterating the bed of the resected adenoma. METHODS: With the patient placed in the supine position, saline is instilled in the bladder with a foley catheter, or cystoscope. A 3-4 cm low transverse incision is made over the bladder after adequate localization using an aspirating needle. This incision is carried down to the bladder, which is entered in the midline. The wound protector is inserted in the bladder, with subsequent application of the SP access kit and docking of the robot. Bladder was insufflated with carbon dioxide with the pressure set at 6 mm Hg. Using the Maryland forceps, scissors, and Prograsp, the prostate adenoma is dissected to the level of the pseudocapsule. After circumferential dissection, the adenoma is transected at the level of the Veru Montanum. Bleeding vessels in the resected fossa are oversewn using 3-0 v-loc running sutures at the 5 and 7 o'clock positions. The resected fossa is later obliterated by advancing the bladder neck mucosa to the level of the Veru Montanum. This reconstruction is performed circumferentially. Excess Mucosa is approximated anteriorly in the midline. RESULTS: All procedures were completed successfully in 17 patients. Median (1 – 3 Interquartile range) for age was 70 (63- 75) years, pre-op PSA 5.6 (2.6 - 7.9) ng/mL, Volume 111 (95.7 - 149.7) cc and BMI 29 (23.5 - 31.8) kg/mb>. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e913 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Christopher R. Wanderling More articles by this author Victor Sandoval More articles by this author Timothy Campbell More articles by this author Stephen Hassig More articles by this author Aaron Saxton More articles by this author Olga Osores More articles by this author Thomas Osinski More articles by this author Jean V. Joseph More articles by this author Expand All Advertisement PDF downloadLoading ...