Total robot-assisted prostatectomy as a treatment for prostatic urethral diverticulum, case report

Authors

  • José Antonio Zapata-González Hospital Ángeles Valle Oriente, Monterrey, Nuevo León, México.
  • Fidencio Reyes-Verastegui Reyes-Verastegui Centro Hospitalario La Concepción, Saltillo, Coahuila, México.
  • José Jesús Álvarez-Álvarez Instituto Mexicano del Seguro Social, Hospital General de Zona 3, San Juan del Río, Querétaro, México.
  • Marcos Bernal-Pedraza Secretaría de Salud, Hospital Juárez de México, Ciudad de México, México.

DOI:

https://doi.org/10.48193/revistamexicanadeurologa.v82i2.860

Keywords:

urinary drainage, percutaneous route, nephrostomy, double-J stent, nephroureteral stent

Abstract

 

Case description: It was described the etiology, presentation and diagnosis of a patient with a diverticulum of the prostatic urethra that underwent total robot-assisted prostatectomy for resolution of a complicated history of recurrent paraurethral and perineal abscesses.

Relevance: First case performed in our work center of total robot-assisted prostatectomy for prostatic diverticulum treatment. Improvement symptomatic and quality of life at the short term are benefits of this technic.

Clinical implications: Total robot-assisted prostatectomy should be considered as an effective option in patients with a prior complicated evolution of prostatic diverticulum.

Conclusions: Each patient must be individualized, being the total robot-assisted prostatectomy an option in complex cases, however, more patient candidates need to be identified for standardization of the technique.

References

Gerrard ER, Lloyd LK, Kubricht WS, Kolettis PN. Transvaginal Ultrasound for the Diagnosis of Urethral Diverticulum. Journal of Urology. 2003;169(4):1395–7. doi: https://doi.org/10.1097/01.ju.0000056739.53193.6c

Cinman NM, McAninch JW, Glass AS, Zaid UB, Breyer BN. Acquired Male Urethral Diverticula: Presentation, Diagnosis and Management. J Urol. 2012;188(4):1204–8. doi: https://doi.org/10.1016/j.juro.2012.06.036

De Filippo, Kurzrock, Stein, Skinner. A giant urethral diverticulum presenting as a scrotal mass in an adult male. BJU International. 1999;83(4):522–3. doi: https://doi.org/10.1046/j.1464-410x.1999.00031.x

Guneri C, Kirac M, Biri H. Surgical treatment of an acquired posterior urethral diverticulum with cystoscopy assisted robotic technique. J Robotic Surg. 2017;11(1):83–6. doi: https://doi.org/10.1007/s11701-016-0623-7

Alam S, Lawal TA, Peña A, Sheldon C, Levitt MA. Acquired posterior urethral diverticulum following surgery for anorectal malformations. Journal of Pediatric Surgery. 2011;46(6):1231–5. doi: https://doi.org/10.1016/j.jpedsurg.2011.03.061

Allen D, Mishra V, Pepper W, Shah S, Motiwala H. A Single-Center Experience of Symptomatic Male Urethral Diverticula. Urology. 2007;70(4):650–3. doi: https://doi.org/10.1016/j.urology.2007.06.1111

.

Ortlip SA, Gonzalez R, Williams RD. Diverticula of the Male Urethra. Journal of Urology. 1980;124(3):350–5. doi: https://doi.org/10.1016/S0022-5347(17)55443-9

Alsowayan O, Almodhen F, Alshammari A. Minimally invasive surgical approach to treat posterior urethral diverticulum. Urology Annals. 2015;7(2):273–6. doi: https://doi.org/10.4103/0974-7796.152950

Hong YK, Onal B, Diamond DA, Retik AB, Cendron M, Nguyen HT. Robot-assisted laparoscopic excision of symptomatic retrovesical cysts in boys and young adults. J Urol. 2011 Dec;186(6):2372–8. doi: https://doi.org/10.1016/j.juro.2011.07.113

Ploussard G, Xylinas E, Salomon L, de la Taille A. Prostatectomía total laparoscópica robótica. EMC - Urología. 2019;51(3):1–13. doi: https://doi.org/10.1016/S1761-3310(19)42720-5

Menon M, Tewari A, Baize B, Guillonneau B, Vallancien G. Prospective comparison of radical retropubic prostatectomy and robot-assisted anatomic prostatectomy: the Vattikuti Urology Institute experience. Urology. 2002;60(5):864–8. doi: https://doi.org/10.1016/S0090-4295(02)01881-2

Novara G, Ficarra V, Rosen RC, Artibani W, Costello A, Eastham JA, et al. Systematic review and meta-analysis of perioperative outcomes and complications after robot-assisted radical prostatectomy. Eur Urol. 2012;62(3):431–52. doi: https://doi.org/10.1016/j.eururo.2012.05.044

Tewari A, Sooriakumaran P, Bloch DA, Seshadri-Kreaden U, Hebert AE, Wiklund P. Positive Surgical Margin and Perioperative Complication Rates of Primary Surgical Treatments for Prostate Cancer: A Systematic Review and Meta-Analysis Comparing Retropubic, Laparoscopic, and Robotic Prostatectomy. European Urology. 2012;62(1):1–15. doi: https://doi.org/10.1016/j.eururo.2012.02.029

Downloads

Published

2022-05-11

Issue

Vol. 82 No. 2 (2022): March-April

Section

Clinical cases

License

Copyright (c) 2022 Revista Mexicana de Urología

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.