Cargando…
Diagnosis and Conservative Management of Ureteral Orifice Injury During Robotic Prostatectomy for a Large Prostate with a Prominent Median Lobe
Introduction: Robot-assisted laparoscopic radical prostatectomy (RALRP) is now considered the standard treatment for localized prostate cancer. However, challenges may arise when dealing with large prostates with a prominent median lobe because the ureteral orifices may not always be visible during...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Mary Ann Liebert, Inc., publishers
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6555169/ https://www.ncbi.nlm.nih.gov/pubmed/31179382 http://dx.doi.org/10.1089/cren.2018.0109 |
_version_ | 1783425103858499584 |
---|---|
author | Bedir, Fevzi Keske, Murat Demirdogen, Saban Oguz Kocaturk, Huseyin Atmaca, Ali Fuat Canda, Abdullah Erdem |
author_facet | Bedir, Fevzi Keske, Murat Demirdogen, Saban Oguz Kocaturk, Huseyin Atmaca, Ali Fuat Canda, Abdullah Erdem |
author_sort | Bedir, Fevzi |
collection | PubMed |
description | Introduction: Robot-assisted laparoscopic radical prostatectomy (RALRP) is now considered the standard treatment for localized prostate cancer. However, challenges may arise when dealing with large prostates with a prominent median lobe because the ureteral orifices may not always be visible during dissection and maybe injured in the process. We describe our experience on the diagnosis and conservative management of ureteral orifice injury in this situation. Case: A Gleason score 3 + 3 prostatic adenocarcinoma was detected during 12-quadrant prostate biopsy performed after measurement of a serum prostate specific antigen value of 8.1 ng/mL in a 65-year-old man presenting with lower urinary tract symptoms. The left ureter orifice was observed to have been injured by scissors at dissection of the neck of the bladder and enlarged median lobe at RALRP. An online video call was made to more experienced robotic surgeons for advice. Diagnosis and management of the ureteral injury are presented. Conclusion: Ureteral orifice injury during an RALRP may be managed conservatively with intraoperative ureteral stenting without the need for reimplantation nor conversion to open surgical techniques. Online video call with experienced robotic surgeons is helpful in the decision process. |
format | Online Article Text |
id | pubmed-6555169 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Mary Ann Liebert, Inc., publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-65551692019-06-07 Diagnosis and Conservative Management of Ureteral Orifice Injury During Robotic Prostatectomy for a Large Prostate with a Prominent Median Lobe Bedir, Fevzi Keske, Murat Demirdogen, Saban Oguz Kocaturk, Huseyin Atmaca, Ali Fuat Canda, Abdullah Erdem J Endourol Case Rep Case Reports Introduction: Robot-assisted laparoscopic radical prostatectomy (RALRP) is now considered the standard treatment for localized prostate cancer. However, challenges may arise when dealing with large prostates with a prominent median lobe because the ureteral orifices may not always be visible during dissection and maybe injured in the process. We describe our experience on the diagnosis and conservative management of ureteral orifice injury in this situation. Case: A Gleason score 3 + 3 prostatic adenocarcinoma was detected during 12-quadrant prostate biopsy performed after measurement of a serum prostate specific antigen value of 8.1 ng/mL in a 65-year-old man presenting with lower urinary tract symptoms. The left ureter orifice was observed to have been injured by scissors at dissection of the neck of the bladder and enlarged median lobe at RALRP. An online video call was made to more experienced robotic surgeons for advice. Diagnosis and management of the ureteral injury are presented. Conclusion: Ureteral orifice injury during an RALRP may be managed conservatively with intraoperative ureteral stenting without the need for reimplantation nor conversion to open surgical techniques. Online video call with experienced robotic surgeons is helpful in the decision process. Mary Ann Liebert, Inc., publishers 2019-05-30 /pmc/articles/PMC6555169/ /pubmed/31179382 http://dx.doi.org/10.1089/cren.2018.0109 Text en © Fevzi Bedir et al. 2019; Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Reports Bedir, Fevzi Keske, Murat Demirdogen, Saban Oguz Kocaturk, Huseyin Atmaca, Ali Fuat Canda, Abdullah Erdem Diagnosis and Conservative Management of Ureteral Orifice Injury During Robotic Prostatectomy for a Large Prostate with a Prominent Median Lobe |
title | Diagnosis and Conservative Management of Ureteral Orifice Injury During Robotic Prostatectomy for a Large Prostate with a Prominent Median Lobe |
title_full | Diagnosis and Conservative Management of Ureteral Orifice Injury During Robotic Prostatectomy for a Large Prostate with a Prominent Median Lobe |
title_fullStr | Diagnosis and Conservative Management of Ureteral Orifice Injury During Robotic Prostatectomy for a Large Prostate with a Prominent Median Lobe |
title_full_unstemmed | Diagnosis and Conservative Management of Ureteral Orifice Injury During Robotic Prostatectomy for a Large Prostate with a Prominent Median Lobe |
title_short | Diagnosis and Conservative Management of Ureteral Orifice Injury During Robotic Prostatectomy for a Large Prostate with a Prominent Median Lobe |
title_sort | diagnosis and conservative management of ureteral orifice injury during robotic prostatectomy for a large prostate with a prominent median lobe |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6555169/ https://www.ncbi.nlm.nih.gov/pubmed/31179382 http://dx.doi.org/10.1089/cren.2018.0109 |
work_keys_str_mv | AT bedirfevzi diagnosisandconservativemanagementofureteralorificeinjuryduringroboticprostatectomyforalargeprostatewithaprominentmedianlobe AT keskemurat diagnosisandconservativemanagementofureteralorificeinjuryduringroboticprostatectomyforalargeprostatewithaprominentmedianlobe AT demirdogensabanoguz diagnosisandconservativemanagementofureteralorificeinjuryduringroboticprostatectomyforalargeprostatewithaprominentmedianlobe AT kocaturkhuseyin diagnosisandconservativemanagementofureteralorificeinjuryduringroboticprostatectomyforalargeprostatewithaprominentmedianlobe AT atmacaalifuat diagnosisandconservativemanagementofureteralorificeinjuryduringroboticprostatectomyforalargeprostatewithaprominentmedianlobe AT candaabdullaherdem diagnosisandconservativemanagementofureteralorificeinjuryduringroboticprostatectomyforalargeprostatewithaprominentmedianlobe |