Summary
Objective
The objective is to describe our experience with robot-assisted laparoscopic diverticulectomy
with extravesical ureteral reimplantation in a pediatric patient.
Methods
A 7-year-old male presented with a symptomatic urinary tract infection secondary to
Staphylococcus epidermidis. The patient was found to have a large congenital paraureteral bladder diverticulum
on work-up. His options were discussed and he proceeded with robotic diverticulectomy.
Intraoperatively, the diverticulum was found to obscure the left ureteral orifice,
which necessitated synchronous dismembered extravesical ureteral reimplantation.
Results
Robot-assisted laparoscopic diverticulectomy with extravesical ureteral reimplantation
was performed. The procedure time was 283 min, and estimated blood loss was 3 mL.
The patient was discharged home on post-operative day 1. He was last seen in clinic
six months after surgery and was doing well without any recurrent urinary tract infections.
Conclusion
This video demonstrates a robotic approach for the treatment of complex congenital
bladder diverticula. Robotic surgery offers the benefits of good visualization in
the pelvis, minimal blood loss, and quick convalescence. Key portions of the diverticulectomy
and ureteral reimplantation are clearly illustrated in this video, which can help
other surgeons adopt this technique.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric UrologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Pediatric robotic-assisted laparoscopic diverticulectomy.J Urol. 2008; 73: 299-301https://doi.org/10.1016/j.urology.2008.06.068
- The large bladder diverticulum in children.J Pediatr Urol. 2005; 1: 267-272https://doi.org/10.1016/j.jpurol.2005.01.005
- Extravesical approach in paraureteral bladder diverticulum A case report.W Indian Med J. 2014; 63: 201-203https://doi.org/10.7727/wimj.2012.113
Article info
Publication history
Published online: June 20, 2020
Accepted:
June 10,
2020
Received in revised form:
May 19,
2020
Received:
February 2,
2020
Identification
Copyright
© 2020 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
