title: Robot-Assisted Bladder Diverticulectomy with Concurrent Management of Bladder Outlet Obstruction.
abstract: BACKGROUND
  Robot-assisted bladder diverticulectomy (RABD) through a technique for easier identification of diverticulum along with concomitant management of bladder outlet obstruction (BOO) utilizing a combination of transurethral prostatectomy (TUR-P) and photoselective vaporization of prostate (PVP) is presented.
  
  
  METHODS
  Between 2008 and 2015, 9 patients underwent RABD with concurrent treatment of BOO. Diverticula were identified by a technique of catheterizing the diverticulum and the bladder simultaneously and individually.
  
  
  RESULTS
  Mean patient age was 62 ± 9.8 and prostate volume was 70 ± 26 ml. Mean time for endourological procedure was 77 ± 35, mean console and total operative times were 108 ± 38 and 186 ± 56 min, respectively. Mean estimated blood loss was 71 ± 37 ml. All diverticula were excised and BOO treated successfully. Bladder irrigation was not necessary in any patient. Mean hospitalization and catheter removal time was 5 ± 3 and 8 ± 3 days, respectively. No complications were observed.
  
  
  CONCLUSIONS
  BOO is the main cause of acquired bladder diverticula and is largely due to benign prostatic hyperplasia. Concomitant performance of TUR-P and PVP along with RABD is feasible and safe. Individual catheterization of the diverticulum and bladder facilitates the identification of diverticulum even in the presence of multiple diverticula.
authors: Department of Urology, Istanbul Acx0131;badem University, School of Medicine, Istanbul, Turkey.
authors: Ilter
authors: I
authors: Tufek
authors: Panagiotis
authors: P
authors: Mourmouris
authors: Omer Burak
authors: OB
authors: Argun
authors: Can
authors: C
authors: Öbek
authors: Mehmet Selcuk
authors: MS
authors: Keskin
authors: Haluk
authors: H
authors: Akpinar
authors: Fatih
authors: F
authors: Atug
authors: Ali Riza
authors: AR
authors: Kural
mesh_terms: D004240:Diverticulum / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000379:methods*; D011470:Prostatic Hyperplasia / Q000150:complications / Q000601:surgery*; D065287:Robotic Surgical Procedures; D001743:Urinary Bladder / Q000002:abnormalities* / Q000601:surgery; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology / Q000601:surgery*