Robot-assisted bladder diverticulectomy.
OBJECTIVE
To describe our technique for robot-assisted bladder diverticulectomy (RABD).


METHODS
Ten patients underwent RABD using an extra- or transvesical approach. Three (30%) patients underwent concomitant procedures: Robot-assisted radical prostatectomy, robot-assisted simple prostatectomy, and transurethral resection of the prostate.


RESULTS
All RABDs were performed successfully. Median estimated blood loss, operative time, and diverticulectomy time were 75 mL, 210 minutes, and 80 minutes, respectively. Median follow-up time was 18 months. Median International Prostate Symptom Score decreased by 57%, P=0.001.


CONCLUSIONS
RABD is feasible and safe. It can be performed via a trans- or extravesical approach, as a stand-alone, or concomitant procedure.
USC Institute of Urology, Center for Advanced Robotic Surgery, Keck School of Medicine, University of Southern California , Los Angeles, California.
Andre Luis de Castro
AL
Abreu
Sameer
S
Chopra
Arjuna
A
Dharmaraja
Hooman
H
Djaladat
Manju
M
Aron
Osamu
O
Ukimura
Mihir M
MM
Desai
Inderbir S
IS
Gill
Monish
M
Aron
D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical; D004240:Diverticulum / Q000150:complications / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D059411:Lower Urinary Tract Symptoms / Q000209:etiology; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011467:Prostate / Q000601:surgery; D011468:Prostatectomy / Q000379:methods; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures / Q000379:methods*; D001743:Urinary Bladder / Q000601:surgery*; D001745:Urinary Bladder Diseases / Q000150:complications / Q000601:surgery*