Zapata-González JA, Reyes-Verastegui F, Álvarez-Álvarez JJ, Bernal-Pedraza M

Language: Spanish
References: 13
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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

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

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

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

4. Guneri C, Kirac M, Biri H. Surgical treatmentof an acquired posterior urethral diverticulumwith cystoscopy assisted robotic technique. JRobotic Surg. 2017;11(1):83–6. doi: https://doi.org/10.1007/s11701-016-0623-7

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

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

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

8. Alsowayan O, Almodhen F, AlshammariA. Minimally invasive surgical approach totreat posterior urethral diverticulum. UrologyAnnals. 2015;7(2):273–6. doi: https://doi.org/10.4103/0974-7796.152950

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

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

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

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

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