Robot-Assisted Radical Cystectomy with Orthotopic Studer Neobladder and Preservation of Pelvic Organs

Authors

  • Mariana Medeiros Centro de Responsabilidade Integrada de Urologia/CRI Urologia do Centro Hospitalar e Universitário de Lisboa Central, Portugal
  • Vanessa Andrade Centro de Responsabilidade Integrada de Urologia/CRI Urologia do Centro Hospitalar e Universitário de Lisboa Central, Portugal
  • Aléxia Gomes Centro de Responsabilidade Integrada de Urologia/CRI Urologia do Centro Hospitalar e Universitário de Lisboa Central, Portugal
  • Frederico Ferronha Centro de Responsabilidade Integrada de Urologia/CRI Urologia do Centro Hospitalar e Universitário de Lisboa Central, Portugal
  • João Pina Centro de Responsabilidade Integrada de Urologia/CRI Urologia do Centro Hospitalar e Universitário de Lisboa Central, Portugal
  • Luís Campos Pinheiro Centro de Responsabilidade Integrada de Urologia/CRI Urologia do Centro Hospitalar e Universitário de Lisboa Central, Portugal

DOI:

https://doi.org/10.24915/aup.195

Keywords:

Cystectomy, Robotic Surgical Procedures, Robotics, Urinary Bladder/surgery, Urinary Bladder Neoplasms, Treatment Outcome

Abstract

The radical cystectomy and urinary diversion have a significant negative impact on quality of life, essentially because it causes deterioration of sexual and urinary functions. The possibility to offer a surgery that preserves female pelvic organs has been proposed in selected cases and it seems to improve the functional outcomes without compromising the oncologic outcomes. Here, we present a clinical case of a 50-years-old woman with bacillus Calmette–Guérin (BCG) refractory non-muscle invasive bladder cancer pT1 and sexually active life. The patient was submitted to pelvic organ-preserving robot assisted radical cystectomy and Studer’s neobladder. This article describes in detail the surgical technical steps, comparing the functional outcomes with the ones stated in the literature.

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Published

2024-01-24

Issue

Vol. 38 No. 1-2 (2023): January - December 2021-2023

Section

Case Report

Copyright (c) 2023 Portuguese Association of Urology

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