Abstract

During the past few years, the robotic platform has rapidly increased his use in the treatment for urologic conditions, improving ergonomics and visualization not only for abdominal surgeries such as prostatectomy and cystoprostatectomy but also, for pelvic-floor disease like urethral stricture. In this article, we describe the first use of the DaVinci platform to treat a bulbar stricture successfully through pelvic access.

Highlights

  • Urethral stricture is a very challenging condition in Urology

  • During the past few years, the robotic platform has rapidly increased his use in the treatment for urologic conditions, improving ergonomics and visualization for abdominal surgeries such as prostatectomy and cystoprostatectomy and, for pelvic-floor disease like urethral stricture

  • The utilization of the DaVinci robot significantly changed the field of Urology

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Summary

Introduction

Urethral stricture is a very challenging condition in Urology. The most common initial approach is endoscopic treatment, using incision, dilation, resection, or intralesional injection. During the past few years, the robotic platform has rapidly increased his use in the treatment for urologic conditions, improving ergonomics and visualization for abdominal surgeries such as prostatectomy and cystoprostatectomy and, for pelvic-floor disease like urethral stricture. A 45-years-old man, with bulbar urethral stricture due to trauma, complained about progressive obstructive symptoms. He has previously undergone an endoscopic urethrotomy, with an improvement to void at the beginning, but he returned to have symptoms 40 days after on. The surgeons discussed with the patient the possibility of using the platform DaVinci SI to assist the surgery He was aware of the experimental use of the robot, and agreed with that, signing an informed consent form

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