title: Robotic-assisted surgery for excision of an enlarged prostatic utricle.
abstract: BACKGROUND
  Prostatic utricle is a rare malformation arising from incomplete regression of the Müllerian ducts. Diagnosis is easily made but management may be challenging. The minimally invasive approach has so far been considered the gold standard for surgical treatment. Many endoscopic and surgical procedures have been described for removal, but to date only few cases of robot-assisted procedures have been mentioned in the literature and there are no reports of redos.
  
  
  METHODS
  We report the case of a giant prostatic utricle cyst successfully treated with robotic-assisted surgery two years after an unsuccessful first attempt at laparoscopic excision. No relapse was found at one year follow up.
  
  
  CONCLUSIONS
  We were able to excise a retro-vescical structure in spite of adhesions caused by the previous surgery and the very large size of the diverticulum thanks to the high magnification and 3-D visualization available in robotic assisted laparoscopy.
  
  
  CONCLUSIONS
  Robot assisted laparoscopy should be considered an advantageous technique for the treatment of prostatic utricle.
authors.affiliation: Department of Mother and Child Health, Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo and University of Pavia, Italy. Electronic address: goruppi.ilaria@gmail.com.
authors.forename: Ilaria
authors.initials: I
authors.lastname: Goruppi
authors.affiliation: Department of Mother and Child Health, Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo and University of Pavia, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Avolio
authors.affiliation: Department of Mother and Child Health, Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo and University of Pavia, Italy.
authors.forename: Piero
authors.initials: P
authors.lastname: Romano
authors.affiliation: Department of Mother and Child Health, Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo and University of Pavia, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Raffaele
authors.affiliation: Department of Mother and Child Health, Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo and University of Pavia, Italy.
authors.forename: Gloria
authors.initials: G
authors.lastname: Pelizzo
keywords: Disorders sexual differentiation; Minimally invasive surgery; Prostatic utricle; Robot assisted laparoscopy
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