Surgical treatment of bladder diverticulum with radical prostatectomy. A case report and literature review

Öz

Bladder diverticulum is an important health problem and can cause urinary system dysfunctions and recurrent urinary infections in patients as complications of incomplete bladder emptying. Diverticulas are often accompanied by bladder outlet obstructions and are less likely to be seen with the prostate cancer. This rare condition necessitates advanced surgical planning.

In this report, we wanted to show that radical prostatectomy can be successfully performed with diverticulectomy.

Anahtar Kelimeler

• Bladder diverticulum,prostate cancer,radical prostatectomy,surgery

Radikal prostatektomi ile birlikte mesane divertikülü cerrahisi: Bir olgu sunumu ve literatür derlemesi

Öz

Mesane divertikülleri önemli bir sorun olup, idrarın tam boşalmaması nedeniyle üriner sistem işlev bozukluklarına ve tekrar eden üriner enfeksiyonlara neden olabilir. Divertiküllere çoğu zaman mesane çıkım obstruksiyonları eşlik etmekte olup, prostat kanseri ile birlikte görülme ihtimali daha düşüktür. Nadir olan bu durum önemli bir cerrahi planlama gerektirir.

Sunduğumuz bu vakada, divertikülektomi ile birlikte radikal prostatektominin başarılı bir şekilde uygulanabileceğini göstermek istedik.

Anahtar Kelimeler

• Mesane divertikülü,prostat kanseri,radikal prostatektomi,cerrahi

Kaynakça

1. 1. Wein AJ, Kavoussi LR, Partin AW, Peters CA, Novick AC, Abouassaly R. Campbell-Walsh, Urology. 11th ed. Philadelphia, PA: Elsevier; 2015. pp.2140-51.
2. 2. Idrees MT, Alexander RE, Kum JB, Cheng L. The spectrum of histopathologic findings in vesical diverticulum: Implications for pathogenesis and staging. Hum Pathol. 2013;44:1223‐32.
3. 3. Fox M, Power RF, Bruce AW. Diverticulum of the bladder presentation and evaluation of treatment of 115 cases. Br J Urol. 1962;34:286-98.
4. 4. Findlay HV, Riparetti PP. Retropubic prostatectomy with diverticulectomy as a one stage procedure. J Urol. 1954;72:429-33.
5. 5. Parra RO, Jones AP, Andrus CH, Hagood PG. Laparoscopic diverticulectomy: preliminary report of a new approach for the treatment of bladder diverticulum. J Urol. 1992;148:869-71.
6. 6. Myer EG, Wagner JR. Robotic assisted laparoscopic bladder diverticulectomy. J Urol. 2007;178:2406-10.
7. 7. Moore CR, Shirodkar SP, Avallone MA, Castle SM, Gorin MA, Gorbatiy V, et al. Intravesical methylene blue facilitates precise identification of the diverticular neck during robot-assisted laparoscopic bladder diverticulectomy. J Laparoendosc Adv Surg Tech A. 2012;22:492-5.
8. 8. Propglia F, Tarabuzzi R, Cossu M, Vacca F, Terrone C, Fiori C, et al. Is laparoscopic bladder diverticulectomy after transurethral resection of the prostate safe and effective? Comparison with open surgery. J Endourol. 2004;18:73-6.

9. 9. Abdel-Hakim AM, El-Feel A, Abouel-Fettouh H, Saad I. Laparoscopic vesical diverticulectomy. J Endourol. 2007;21:85–9.
10. 10. Magera JS Jr, Adam Childs M, Frank I. Robot-assisted laparoscopic transvesical diverticulectomy and simple prostatectomy. J Robot Surg. 2008; 2:205-8.
11. 11. Tufek I, Mourmouris P, Argun OB, Öbek C, Keskin MS, Akpinar H, et al. Robot-Assisted Bladder Diverticulectomy with Concurrent Management of Bladder Outlet Obstruction. Urol Int. 2016;96:432-7.
12. 12. Skolarikos A, Varkarakis I, Alivizatos G, Chalikopoulos D, Papachristou C, Deliveliotis C. Concomitant radical prostatectomy and bladder diverticulectomy: functional and oncological outcome. European Urology Supplements. 2007;6:152.
13. 13. Loran OB, Sokolov AE, Guspanov RI, Polegen'kiĭ VV. [Simultaneous radical retropubic prostatectomy, diverticulectomy]. Urologiia. 2014;6:96-8.
14. 14. Ploumidis A, Skolarikos A, Sopilidis O, Chalikopoulos D, Alivizatos G, Wiklund P. Sequential robotic-assisted bladder diverticulectomy and radical prostatectomy. Technique and review of the literature. Int J Surg Case Rep. 2013;4:81-4.
15. 15. Altunrende F, Autorino R, Patel NS, White MA, Khanna R, Laydner H, et al. Robotic bladder diverticulectomy: technique and surgical outcomes. Int J Urol. 2011;18:265-71.