Cystolithotomy during robotic radical prostatectomy: Single-stage procedure for concomitant bladder stones

Area of Science:

• Urology
• Robotic Surgery
• Oncology

Background:

• Asymptomatic bladder stones (vesical calculi) can be incidentally found in patients with early prostate cancer.
• Management of concomitant bladder stones requires careful consideration to avoid additional procedures and risks.

Observation:

• A 64-year-old man with early prostate cancer requiring robotic-assisted radical prostatectomy also had multiple bladder stones.
• A single-stage robotic cystolithotomy was performed concurrently with the prostatectomy.

Findings:

• Concomitant robotic bladder stone extraction during radical prostatectomy is technically feasible.
• This combined approach does not significantly increase operative time.
• Complete stone clearance was achieved in a single procedure.

Implications:

• This technique offers a streamlined approach for managing patients with both prostate cancer and bladder stones.
• It avoids the need for separate procedures, reducing risks associated with additional anesthesia and surgery.
• Potential complications like bleeding, urethral stricture, and bladder perforation are mitigated by the single-stage approach.