Open AccessRobot-Assisted Radical Prostatectomy in a Second Kidney Transplant Recipient
Author(s) -
Keita Minami,
Hiroshi Harada,
Hajime Sasaki,
Haruka Higuchi,
Hiroshi Tanaka
Publication year - 2020
Publication title -
journal of endourology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.123
H-Index - 1
ISSN - 2379-9889
DOI - 10.1089/cren.2020.0146
Subject(s) - medicine , prostatectomy , iliac fossa , urology , prostate cancer , biochemical recurrence , surgery , kidney transplant , pelvis , transplantation , kidney transplantation , cancer
Background: Radical prostatectomy for de novo prostate cancer (PCa) among kidney transplant (KT) recipients (KTRs) can be challenging because of the location of the renal allograft, which may make robot-assisted radical prostatectomy (RARP) difficult to perform. In this study, we present the first case of RARP in a patient with two renal allografts in both iliac fossae. Case Presentation: A 72-year-old KTR was found to have organ-confined PCa. He had a first KT (in the right iliac fossa) 20 years ago, which he lost because of chronic allograft nephropathy, followed by a second KT (in the left iliac fossa) 8 years ago, which is now functioning well. We performed RARP with a right-nerve sparing technique. The surgical duration was 208 minutes, with an estimated blood loss of 50 mL and no intraoperative complications. The postoperative course was unremarkable. During the 21-month follow-up period, there was no incontinence or biochemical recurrence and the allograft function remained normal. Conclusion: RARP is feasible and can be performed safely in KT patients with two renal allografts in the pelvis.