Abstract
In many cases of female radical cystectomy for bladder cancer, the procedure involves simultaneous removal of the uterus, fallopian tubes, ovaries, anterior vaginal wall, and urethra. After this procedure, rare complications like vaginal dehiscence and evisceration may occur. We herein describe this article surgical technique involving preservation of the distal anterior vaginal wall to maintain pelvic floor strength and retrograde resection of the proximal anterior vaginal wall. The presented case was a 61-year-old woman who had a bladder tumor. After undergoing a transurethral resection, the pathology revealed muscle-invasive squamous cell bladder cancer. Consequently, she received a robot-assisted radical cystectomy (RARC) without neoadjuvant chemotherapy. Before opening the vaginal wall, the urethra, including the external urethral meatus, was dissected along its entire length. Next, a transverse incision was made in the anterior vaginal wall at the level of bladder neck, and the wall was resected retrogradely toward the anterior vaginal fornix while preserving the distal anterior vaginal wall. The opened vaginal wall was closed in a tubular shape. Preservation of the distal anterior vaginal wall and retrograde anterior vaginal wall resection can be safely performed in female RARC and may reduce the risk of vaginal dehiscence by minimizing the vaginal wall defect.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Similar Papers
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.