A Modified Robot-Assisted Bladder Neck Reconstruction Technique: A Case Report

Robotic reconstructive surgery is currently one of the preferred and pathogenetically justified approaches to the treatment of bladder neck contracture. R-YV bladder neck plasty is the most commonly used technique. However, various modified reconstructive techniques, including the use of flaps and implants, have been adapted for robotic reconstructive urology. This study presents a clinical case of successful robot-assisted circular resection of a cicatricial bladder neck with formation of a urethrovesical anastomosis using a modified suture plasty technique. This approach enables radical excision of scar tissue and precise formation of the urethrovesical anastomosis using the modified suture technique. Physiological function of the urinary tract was restored within 3 months after surgery and fully normalized over the subsequent period (this case was followed for 9 months). Furthermore, instrumental examinations revealed no pathological changes in this area. Our experience, together with evidence from the literature, that surgical interventions of bladder neck sclerosis are feasible only in specialized urological centers with a high volume of robotic procedures.