title: Sequential robotic-assisted bladder diverticulectomy and radical prostatectomy. Technique and review of the literature.
abstract: BACKGROUND
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
  
  
  CONCLUSIONS
  Concomitant RABD with RARP is a safe and effective procedure with excellent oncological and functional results.
authors.affiliation: Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institutet, Karolinskavägen, 171 76 Stockholm, Sweden. Electronic address: aploumidis@yahoo.gr.
authors.forename: Achilles
authors.initials: A
authors.lastname: Ploumidis
authors.forename: Andreas
authors.initials: A
authors.lastname: Skolarikos
authors.forename: Odisseas
authors.initials: O
authors.lastname: Sopilidis
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Chalikopoulos
authors.forename: Gerasimos
authors.initials: G
authors.lastname: Alivizatos
authors.forename: Peter
authors.initials: P
authors.lastname: Wiklund