V11-09 Single-Port (Sp) Robotic Transvesical Bladder Diverticulectomy: Description of Novel Technique and Initial Outcomes

You have accessJournal of UrologyBPH/Male Voiding Dysfunction/Infection/Misc. Imaging (V11)1 May 2024V11-09 SINGLE-PORT (SP) ROBOTIC TRANSVESICAL BLADDER DIVERTICULECTOMY: DESCRIPTION OF NOVEL TECHNIQUE AND INITIAL OUTCOMES Jaya Sai S. Chavali, Roxana Ramos, Nicolas Soputro, Adriana Pedraza, Carter Mikesell, and Jihad Kaouk Jaya Sai S. ChavaliJaya Sai S. Chavali , Roxana RamosRoxana Ramos , Nicolas SoputroNicolas Soputro , Adriana PedrazaAdriana Pedraza , Carter MikesellCarter Mikesell , and Jihad KaoukJihad Kaouk View All Author Informationhttps://doi.org/10.1097/01.JU.0001009368.07681.43.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: We aim to present our single-port robotic transvesical technique for performing bladder diverticulectomy using the DaVinci single-port (SP) surgical platform. We present the feasibility, indications, and advantages for the transvesical approach. METHODS: We performed three cases of single-port robotic transvesical diverticulectomy between 2020-2023. The overall patient demographics are described in Table 1. The transvesical surgical technique is described in a 66-year-old male with severe lower urinary tract symptoms (LUTS) including frequency, decreased stream and incomplete emptying secondary to benign prostate hypertrophy (BPH). The patient was discovered to have incidental bladder diverticulum on preoperative workup. The patient had a simultaneous robotic simple prostatectomy (RASP). The following surgical steps are described in the video: 1) Transvesical access and port placement, 2) Inversion of bladder diverticulum through the neck, 3) Bladder diverticulectomy, and 4) Cystotomy closure. RESULTS: The total operative time was 180 minutes which included RASP. The patient was discharged the same day and no postoperative complications were reported. The foley catheter was removed on post-surgical day 7 after a negative cystogram. The perioperative data for the patient series have been summarized in Table 2. All the patient had improvement in their postoperative international prostatism symptom scores (IPSS). The median follow-up was 16 months. CONCLUSIONS: Single-port robotic transvesical robotic diverticulectomy is a safe and feasible option for the excision of the bladder diverticulum. The transvesical approach offers the benefit of regionalizing the surgery to the bladder and relatively smaller cystotomy for closure after diverticular excision, decreasing postoperative foley duration and faster recovery. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e914 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Jaya Sai S. Chavali More articles by this author Roxana Ramos More articles by this author Nicolas Soputro More articles by this author Adriana Pedraza More articles by this author Carter Mikesell More articles by this author Jihad Kaouk More articles by this author Expand All Advertisement PDF downloadLoading ...