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The case of a simultaneous robotic radical nephroureterectomy, genital tract and paravaginal nerve-sparing robotic radical cystectomy, super-extended pelvic lymph node dissection and intracorporeal Studer pouch construction on a 57-year old female patient with muscle invasive bladder and distal ureteral tumors, along with a hydroureteronephrotic nonfunctioning right kidney is presented. The entire surgery was completed through a total of 8 ports in 9.5 hours. The patient was discharged home on postoperative day-6 and a JJ-stent attached to the urinary catheter was removed altogether on postoperative day-21. This complex surgery can be done safely robotically with excellent oncological outcomes and no surgical and wound complications in the short term.

central european journal of urology

Simultaneous robot assisted laparoscopic radical nephroureterectomy; genital tract and paravaginal nerve sparing radical cystectomy; superextended lymph node dissection and intracorporeal Studer pouch reconstruction for bladder cancer: Robotic hat–trick