Resection of Bladder Mass

Abstract

Study Objective To illustrate surgical techniques and anatomic considerations involved in the resection of urinary bladder wall mullerianosis. Design Video footage captured during an operative case has been adapted to highlight the surgical principles essential to safe and complete resection of this rare and morphologically complex lesion. Setting After induction of general anesthesia and endotracheal intubation, the patient was placed in dorsal lithotomy position. Robotic camera and access ports were introduced into the abdomen. A sponge stick was placed into the vagina to serve as a manipulator. The patient was placed in Trendelenburg position. Patients or Participants A 46-year-old premenopausal female with longstanding history of cyclic pelvic pain. Interventions Robotic assisted resection of the patient's bladder wall lesion. Measurements and Main Results The procedure was successful in achieving its diagnostic and therapeutic goals. The lesion was completely resected without unplanned complications and the patient achieved improvement in her symptoms. Final surgical pathology revealed mullerianosis. Conclusion The surgical techniques highlighted in this video can aid in the safe and complete resection of bladder wall lesions.