Category: Robotic Surgery: New Techniques - Benign

VS18-8 - A novel approach in multiple bladder diverticula treated with simultaneous cystoscopy and robotic laparoscopy

Sun, Sep 23
2:00 PM - 4:00 PM

Introduction & Objective : To present a new approach in multiple bladder diverticula with a simultaneous cystoscopy and robotic laparoscopy 


Methods : We introduced a 56y old healthy male, that presented to our institution with acute urinary retention that required the colocation of a foley cathether with a non succesful attempt of the withdrawal, with no additional findings during the physical examination
In the Radiologic follow up encounter with 3 big diverticula that was confirmed during the cistoscopy in the posterior wall and both lateral walls. 
During the Robotic surgery performed a simultaneous cistoscopy that gives is the exact location of the diverticula neck, to perform a resection of the diverticula, with this approach tried to minimize the healhy bladder tissue to keep the most of the bladder voiding. 
During the surgery resected 3 big diverticula and closed the defects with V-Lock suture 2-0, and a small diverticula that was ligated at the base. performed a final filling of the bladder observing no urinary leaks 
The patient was discharged from the hospital at the second postoperative day and presented normal voiding since then. the postoperative cystography confirmed that there was no urinary leaks and no residual urine. 


Results : The simultaneous robotic approach has the ability to gives a better picture of the disease and perform a better surgery with better outcomes


Conclusions : The robotic and simultaneoys cystoscopy has to be a standard in complex patient with many diverticula to attempt a succesful repair 

Pascual ARMANDO. Cortes Raygoza

Urology Resident
Hospital General Dr Manuel Gea Gonzalez
Tlalpan, Distrito Federal, Mexico

Roberto PATRICIO. Lopez Maguey

resident
Hospital Dr. Manuel GEA Gonzalez
Mexico, Distrito Federal, Mexico

Ivan Calvo Vazquez

Hospital General Dr. Manuel Gea González
Mexico City, Distrito Federal, Mexico

Erick Alejandro Hernandez Mendez

Hospital General Dr. Manuel Gea González
Mexico City, Distrito Federal, Mexico

Mario Enrique Ortega Gonzalez

Hospital General Dr. Manuel Gea González
Mexico City, Distrito Federal, Mexico

Jorge Gustavo Morales Montor

Hospital General Dr. Manuel Gea González
Mexico City, Distrito Federal, Mexico

Carlos Martinez Arroyo

Academic staff
Hospital General Dr. Manuel Gea González
Mexico City, Distrito Federal, Mexico

Mauricio Cantellano Orozco

Hospital General Dr. Manuel Gea González
Mexico City, Distrito Federal, Mexico

Gerardo Fernandez Noyola

Hospital General Dr. Manuel Gea González
Mexico City, Distrito Federal, Mexico

Carlos Pacheco Gahbler

Urology Chief Division
Hospital General Dr. Manuel Gea González
Mexico City, Distrito Federal, Mexico