Role of robotic-assisted laparoscopy in removing prostatic utricle cyst and seminal reconstruction

Abstract

Objective To summarize the clinical experiences of removing prostatic utricle cyst and seminal reconstruction with robotic-assisted laparoscopy. Methods From July 2019 to September 2019, five children with recurrent epididymitis and urinary tract infection after hypospadias repair were analyzed retrospectively. The average age was (47.2±42.2) months. Urinary ultrasound and voiding cystourethrogram (VCUG) were performed for confirming the presence of prostatic utricle cyst. And removing prostatic utricle cyst and seminal reconstruction were performed simultaneously. After operation, ultrasonography of urinary system and routine urinalysis were performed. Results The follow-up period was (4-6) months. All procedures were successful without any intraoperative complication or any conversion into open surgery. The average operative duration was (133.0±77.1) min. There was no onset of such postoperative complications as recurrent epididymitis or urinary tract infection. Conclusions It is both safe and effective to resect prostatic utricle cyst and reconstruct seminal tract simultaneously with robotic-assisted laparoscopy. However, the patency of seminal tract and fertility rate in adulthood should be verified by longer term of follow-ups and data supports. Key words: Hypospadias; Prostatic utricle; Robot assisted laparoscopic surgery