Related Experiment Video
Updated: Feb 10, 2026

Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
Robot-Assisted Cystoprostatectomy for Muscle-Invasive Bladder Cancer in a Patient With a Prior Simultaneous
Laetitia Lonca1, Peter Beniac1, Andrei Necsulescu1
1Urology Department, Bicêtre Hospital, Assistance Publique Hôpitaux de Paris, Paris-Saclay University, Le Kremlin-Bicêtre, France, universite-paris-saclay.fr.
Introduction:
Kidney transplant recipients are at increased risk of malignancy due to chronic immunosuppression. Although rare (≈0.3%), bladder cancer in this population tends to be aggressive and may present with atypical symptoms. We report a case of muscle-invasive bladder cancer in a patient with prior simultaneous pancreas-kidney transplantation, successfully managed by fully intracorporeal robot-assisted radical cystoprostatectomy and urinary diversion.
Presentation:
A 46-year-old male with a history of a simultaneous pancreas and kidney transplantation presented with persistent storage lower urinary tract symptoms. Cystoscopy revealed a necrotic, atypical lesion with associated inflammatory changes. Preoperative CT urography showed thickening of the bladder dome, with peripheral enhancement and a calcified component. The patient underwent robot-assisted radical cystoprostatectomy with intracorporeal ileal conduit involving the transplanted kidney.
Clinical Discussion:
This rare case highlights the importance of thorough urological evaluation in transplant recipients presenting with atypical urinary symptoms.
Conclusion:
This case demonstrates the feasibility and safety of fully intracorporeal robot-assisted cystoprostatectomy with urinary diversion in a patient with a simultaneous pancreas-kidney transplant.
Related Concept Videos
Kidney Transplant I: Introduction
Imaging Studies I: Kidney, Ureter, and Bladder Studies
Kidney Transplant II: Surgical Procedure
Kidney Structure
Kidney Transplant III: Nursing Management
Pancreas
The broad head of the pancreas lies within the loop formed by the duodenum, while its slender body reaches towards the spleen. The tail of the pancreas is short...

