Robotic assisted laparoscopic prostatectomy in a patient with prostate cancer and complex urinary tract malformation

We present a case of prostate cancer with abnormal renal and ureteric anatomy who underwent robotic assisted laparoscopic prostatectomy. This is a 59-year-old European patient who presented with lower urinary tract symptoms (LUTS) and pelvic pain. Investigations revealed prostate cancer as well as a supernumerary right kidney and an atrophic horseshoe left kidney draining into the left seminal vesicle. He was managed with robotic assisted laparoscopic prostatectomy (RALP) using a modified technique. Selective pre-operative investigations and patient counselling led to proper operative planning and good surgical technique and outcome.