TY - JOUR
T1 - Robotic-assisted surgery for excision of an enlarged prostatic utricle
AU - Goruppi, Ilaria
AU - Avolio, Luigi
AU - Romano, Piero
AU - Raffaele, Alessandro
AU - Pelizzo, Gloria
PY - 2015
Y1 - 2015
N2 - Abstract Introduction Prostatic utricle is a rare malformation arising from incomplete regression of the Müllerian ducts. Diagnosis is easily made but management may be challenging. The minimally invasive approach has so far been considered the gold standard for surgical treatment. Many endoscopic and surgical procedures have been described for removal, but to date only few cases of robot-assisted procedures have been mentioned in the literature and there are no reports of redos. Presentation of the case We report the case of a giant prostatic utricle cyst successfully treated with robotic-assisted surgery two years after an unsuccessful first attempt at laparoscopic excision. No relapse was found at one year follow up. Discussion We were able to excise a retro-vescical structure in spite of adhesions caused by the previous surgery and the very large size of the diverticulum thanks to the high magnification and 3-D visualization available in robotic assisted laparoscopy. Conclusion Robot assisted laparoscopy should be considered an advantageous technique for the treatment of prostatic utricle.
AB - Abstract Introduction Prostatic utricle is a rare malformation arising from incomplete regression of the Müllerian ducts. Diagnosis is easily made but management may be challenging. The minimally invasive approach has so far been considered the gold standard for surgical treatment. Many endoscopic and surgical procedures have been described for removal, but to date only few cases of robot-assisted procedures have been mentioned in the literature and there are no reports of redos. Presentation of the case We report the case of a giant prostatic utricle cyst successfully treated with robotic-assisted surgery two years after an unsuccessful first attempt at laparoscopic excision. No relapse was found at one year follow up. Discussion We were able to excise a retro-vescical structure in spite of adhesions caused by the previous surgery and the very large size of the diverticulum thanks to the high magnification and 3-D visualization available in robotic assisted laparoscopy. Conclusion Robot assisted laparoscopy should be considered an advantageous technique for the treatment of prostatic utricle.
KW - Disorders sexual differentiation
KW - Minimally invasive surgery
KW - Prostatic utricle
KW - Robot assisted laparoscopy
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U2 - 10.1016/j.ijscr.2015.03.024
DO - 10.1016/j.ijscr.2015.03.024
M3 - Article
AN - SCOPUS:84925853955
VL - 10
SP - 94
EP - 96
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
SN - 2210-2612
M1 - 1292
ER -