Open AccessCystolithotomy during robotic radical prostatectomy: Single-stage procedure for concomitant bladder stones
Author(s) -
Gerald Tan,
Prasanna Sooriakumaran,
David Peters,
Abhishek Srivastava,
Ashutosh Tewari
Publication year - 2012
Publication title -
indian journal of urology/indian journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/0970-1591.94968
Subject(s) - medicine , concomitant , prostatectomy , stage (stratigraphy) , urology , bladder stone , surgery , asymptomatic , perforation , prostate cancer , bladder stones , cancer , urinary system , paleontology , materials science , metallurgy , punching , biology
Asymptomatic concomitant vesical calculi are an occasional finding on routine radiologic staging and evaluation of patients with early prostate cancer. We report the first case of single-stage robotic cystolithotomy for multiple bladder stones in a 64-year-old man undergoing robotic-assisted radical prostatectomy, and discuss the approaches available for ensuring complete stone clearance in this unique setting. We show that concomitant bladder stone extraction during robotic-assisted radical prostatectomy is feasible and does not add significantly to operative time. This technique avoids the need to undergo additional general anesthetic procedures with potential complications such as bleeding, urethral stricture formation, and bladder perforation, prior to the prostatectomy.