Minimally Invasive Robotic-Assisted Cystolithotomy in a Complicated Urinary Diversion: A Feasible and Safe Approach.

Urinary diversion following radical cystectomy and neoadjuvant chemotherapy is the gold standard for the management of muscle-invasive bladder cancer. Urinary diversions are at an increased risk of urolithiasis as a result of various factors. Traditional surgical intervention has included open cystolithotomy which has given way to minimally invasive techniques as of late. We describe a case of a robotic-assisted cystolithotomy from a neobladder in a 54-year-old female patient with muscle-invasive bladder cancer. This is the first description of a robotic-assisted removal of a stone in an orthotopic neobladder. This approach has many advantages, especially in the removal of larger stones. Further study is needed to investigate the efficacy and success of this approach.

Case reports in urology. 2021 Dec 14*** epublish ***

A Haffar, C Crigger, T Trump, M Jessop, M W Salkini

West Virginia University School of Medicine, West Virginia, USA., Johns Hopkins Children's Center, Baltimore, USA., Department of Urology, West Virginia University, West Virginia, USA., Benefis Health System Foundation, Great Falls, USA.

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