Implementation of robot-assisted nephroureterectomy and radical prostatectomy into a single surgery

Urothelial carcinoma originating from the upper urinary tract and prostate adenocarcinoma are separate entities in distinct anatomic locations. Since they are anatomically distant and seldom encountered synchronously, little information exists on the methodology of surgical procedure to treat both conditions simultaneously. We performed a robot-assisted right nephroureterectomy and radical prostatectomy in a single surgical session and demonstrated that it can be conveniently performed in routine clinical practice. A 68-year-old male patient was admitted to our outpatient clinic with macroscopic hematuria. The PSA level at admission was 5.5µg/L. By the aid of cross-sectional studies and biopsies taken from respective sites, the patient was diagnosed with concomitant right upper urinary tract urothelial carcinoma and prostatic adenocarcinoma. The patient underwent robot-assisted transperitoneal nephroureterectomy and radical prostatectomy as presented in this article. The patient was discharged 4 days after the surgery without complications. The PSA level was <0.003 µg/L six months after the surgery. No local or systemic recurrences were noted in cross-sectional studies as well. It is feasible to perform robot-assisted nephroureterectomy and radical prostatectomy in a single surgical session.