Sequential robotic-assisted bladder diverticulectomy and radical prostatectomy. Technique and review of the literature

Achilles Ploumidis; Andreas Skolarikos; Odisseas Sopilidis; Dimitrios Chalikopoulos; Gerasimos Alivizatos; Peter Wiklund

doi:10.1016/j.ijscr.2012.10.002

Sequential robotic-assisted bladder diverticulectomy and radical prostatectomy. Technique and review of the literature

Int J Surg Case Rep. 2013;4(1):81-4. doi: 10.1016/j.ijscr.2012.10.002. Epub 2012 Oct 8.

Authors

Achilles Ploumidis¹, Andreas Skolarikos, Odisseas Sopilidis, Dimitrios Chalikopoulos, Gerasimos Alivizatos, Peter Wiklund

Affiliation

¹ Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institutet, Karolinskavägen, 171 76 Stockholm, Sweden. Electronic address: aploumidis@yahoo.gr.

Abstract

Introduction: Acquired bladder diverticula (BD) in men over the age of 60 are usually due to bladder outlet obstruction (BOO) secondary to prostatic enlargement. In cases of clinical significant BD with persistent symptoms or complications surgical excision should be considered. In the treatment of BD it is important to address the BOO with a bladder outlet procedure either simultaneously or in a staged fashion.

Presentation of case: We present to the best of our knowledge, the first case of sequential robotic-assisted bladder diverticulectomy (RABD) combined with robotic-assisted radical prostatectomy (RARP) in a patient with large diverticula and malignant prostate enlargement as the cause of BOO.

Discussion: Concomitant open radical prostatectomy and bladder diverticulectomy series have been described, while minimal invasive procedures combining BD excision with relive of BOO especially due to benign prostatic enlargement have been reported to be safe and effective.

Conclusion: Concomitant RABD with RARP is a safe and effective procedure with excellent oncological and functional results.