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BRAIN ATTACK:

Robot-assisted Bladder Diverticulectomy: An interesting case scenario

in Max Super Speciality Hospital, Vaishali

Apr 18 , 2023

A male patient with severe diculty in passing urine came to Max Super Speciality Hospital, Patparganj. On ultrasound examination, it was found that his prostate was more than 200 cc which is ten times than normal prostate size. Both hips were fixed due to ankylosis of the hip joints. His serum PSA was normal, so there was no suspicion of prostate cancer. The usual surgery doctors opt for prostate is TURP/HOLEP, in which hip joints are flexed to put the patient in a lithotomy position. This was impossible in this case due to ankylosis of the hip joints. The only option was an open surgery (simple prostatectomy or Freyer’s procedure).

The doctors thought of taking advantage of Robots and do the same surgery, a simple prostatectomy, without making a cut/incision.

Robotic-assisted simple prostatectomy was performed, which took 2 hours with no blood loss. The patient was discharged in two days, and his catheter was removed later on. He had an excellent urinary flow after catheter removal, which was documented on uroflowmetry. His suering of more than ten years was ended, and he was fully satisfied with the operative outcome.