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Transvesical Robotic Simple Prostatectomy: Initial Clinical Experience

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Presentation on theme: "Transvesical Robotic Simple Prostatectomy: Initial Clinical Experience"— Presentation transcript:

1 Transvesical Robotic Simple Prostatectomy: Initial Clinical Experience
Scott Leslie, Andre Luis de Castro Abreu, Sameer Chopra, Patrick Ramos, Daniel Park, Andre K. Berger, Mihir M. Desai, Inderbir S. Gill, Monish Aron  European Urology  Volume 66, Issue 2, Pages (August 2014) DOI: /j.eururo Copyright © 2013 European Association of Urology Terms and Conditions

2 Fig. 1 Port placement for transvesical robotic simple prostatectomy. (A) Schematic view of port placement; (B) operative view of port placement. AS=assistant; Cam=camera. European Urology  , DOI: ( /j.eururo ) Copyright © 2013 European Association of Urology Terms and Conditions

3 Fig. 2 Vertical cystotomy at the dome of the bladder providing transvesical access to the adenoma. European Urology  , DOI: ( /j.eururo ) Copyright © 2013 European Association of Urology Terms and Conditions

4 Fig. 3 Intraoperative view of transvesical robotic simple prostatectomy. The bladder (BL) is retracted and sutured to the abdominal wall. A transverse posterior incision is made at the junction of the trigone and adenoma (AD), and a stitch is placed through the AD allowing for dynamic retraction. European Urology  , DOI: ( /j.eururo ) Copyright © 2013 European Association of Urology Terms and Conditions

5 Fig. 4 (A) Mucosal incision around the adenoma followed by (B) enucleation. AD=adenoma; PF=prostatic fossa. European Urology  , DOI: ( /j.eururo ) Copyright © 2013 European Association of Urology Terms and Conditions

6 Fig. 5 (A) FloSeal (optional) applied to prostatic cavity to further ensure hemostasis, followed by (B) cystotomy closure. FL=FloSeal; PF=prostatic fossa. European Urology  , DOI: ( /j.eururo ) Copyright © 2013 European Association of Urology Terms and Conditions

7 Fig. 6 Sagittal computed tomography scan demonstrating an enlarged prostate and bladder stone (arrow). European Urology  , DOI: ( /j.eururo ) Copyright © 2013 European Association of Urology Terms and Conditions

8 Fig. 7 Fluoroscopic images during a urodynamic study. (A) A large right-sided bladder diverticulum is demonstrated (B and C) that does not empty on voiding. European Urology  , DOI: ( /j.eururo ) Copyright © 2013 European Association of Urology Terms and Conditions

9 Fig. 8 Anteroposterior and oblique views of a postoperative cystogram demonstrating no leak and a large prostatic fossa occupied by the catheter balloon. European Urology  , DOI: ( /j.eururo ) Copyright © 2013 European Association of Urology Terms and Conditions

10 Fig. 9 (A) Robotic cystolithotomy with concomitant simple prostatectomy; (B) respective specimen weighting 155g. European Urology  , DOI: ( /j.eururo ) Copyright © 2013 European Association of Urology Terms and Conditions

11 Fig. 10 Concomitant robotic mesh repair of inguinal hernia.
European Urology  , DOI: ( /j.eururo ) Copyright © 2013 European Association of Urology Terms and Conditions

12 Fig. 11 Bladder diverticulum. Neck of diverticulum scored with electrocautery. Note ureteral catheter in right ureteric orifice and tip of urethral catheter advanced into neck of diverticulum. AD=adenoma; DN=diverticulum neck; FC=Foley catheter; UC=ureteral catheter. European Urology  , DOI: ( /j.eururo ) Copyright © 2013 European Association of Urology Terms and Conditions


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