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Robot-assisted laparoscopic augmentation ileocystoplasty in a tubercular bladder
Prem Nath Dogra1, Subodh K Regmi1, Prabhjot Singh1
1Department of Urology, AIIMS, New Delhi, India.
Urology Annals
|May 17, 2014
Summary
Genitourinary tuberculosis can cause small bladders requiring reconstructive surgery. Robot-assisted laparoscopic augmentation ileocystoplasty offers a minimally invasive option for bladder augmentation, improving patient outcomes.
Area of Science:
- Urology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Genitourinary tuberculosis (GUTB) can lead to small contracted bladders and renal damage.
- Reconstructive procedures are often necessary alongside anti-tubercular treatment for GUTB patients.
- Traditional open surgical approaches for bladder reconstruction are being complemented by minimally invasive techniques.
Purpose of the Study:
- To describe the technique of robot-assisted laparoscopic augmentation ileocystoplasty.
- To present a case of a patient with a small contracted bladder due to GUTB treated with this procedure.
Main Methods:
- A completely intra-corporeal robot-assisted laparoscopic technique was employed.
- An ileal "cap" was created from a 15 cm segment of distal ileum.
- The ileal segment was anastomosed to a mid-sagittally bi-valved urinary bladder.
Main Results:
- The procedure was successfully performed with a total operative time of 420 minutes.
- The patient was discharged on postoperative day 5.
- At 6-month follow-up, the patient reported no irritative urinary symptoms and had insignificant post-void residual urine.
Conclusions:
- Robot-assisted laparoscopic augmentation ileocystoplasty is a viable minimally invasive approach for managing small contracted bladders secondary to GUTB.
- This technique can lead to successful bladder augmentation and improved functional outcomes.
- Further studies are warranted to evaluate long-term efficacy and compare with open procedures.
