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Robotic extramucosal excision of bladder wall leiomyoma
Khalid E Al-Othman1, Emad S Rajih1, Mohammed F Al-Otaibi1
1King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Summary
Robotic extramucosal excision offers a novel approach for bladder wall leiomyoma removal. This technique preserves bladder mucosa and muscle, reducing recurrence and hospital stay.
Area of Science:
- Urology
- Surgical Oncology
- Robotic Surgery
Background:
- Bladder wall leiomyomas are rare benign tumors.
- Surgical resection is the primary treatment modality.
- Minimally invasive partial cystectomy is common, but alternative techniques are explored.
Observation:
- A 35-year-old male presented with lower urinary tract symptoms due to a bladder wall leiomyoma.
- Robotic extramucosal excision was performed without cystotomy.
- The procedure involved complete removal of the muscular layer.
Findings:
- The robotic surgery took 90 minutes with minimal blood loss (50mL).
- The patient was discharged within 72 hours with no immediate complications.
- A 6-month follow-up confirmed no tumor recurrence.
Implications:
- Robotic extramucosal excision provides complete tumor removal while preserving bladder integrity.
- This technique may reduce the risk of local recurrence.
- It potentially shortens postoperative catheterization and hospitalization periods.
