V1-02 ROBOT ASSISTED LAPAROSCOPIC PLACEMENT OF BLADDER NECK ARTIFICIAL URINARY SPHINCTER.

Abstract

You have accessJournal of UrologyReconstruction Lower Tract (I)1 Apr 2017V1-02 ROBOT ASSISTED LAPAROSCOPIC PLACEMENT OF BLADDER NECK ARTIFICIAL URINARY SPHINCTER. John Schomburg, Mya Levy, and Sean Elliott John SchomburgJohn Schomburg More articles by this author , Mya LevyMya Levy More articles by this author , and Sean ElliottSean Elliott More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.234AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We present our technique of robot assisted laparoscopic placement of bladder neck artificial urethral sphincter (Robot-AUS). Compared to the open approach, the robot assisted laparoscopic technique allows for excellent visualization of the posterior dissection. METHODS Our patient is a 49-year-old male with history of L1 spinal cord injury with stress urinary incontinence between intermittent catheterizations. Using the Da Vinci Xi surgical system, the bladder neck was circumferentially dissected. A 9cm AMS 800 AUS cuff was placed around the bladder neck after confirming appropriate sizing with simultaneous cystourethroscopy. The pressure-regulating balloon was placed in the recreated space of Retzius. Tubing connections were created extracorporeally at the right lower quadrant port site; the pump was passed subcutaneously from this port site to the right hemi-scrotum. RESULTS The patient was discharged home on post-operative day #1, performing intermittent catheterization through a deactivated cuff. His stress urinary incontinence persisted until his device was activated at post-op week 4. Six months post-operatively, he is dry without the use of pads and is able to easily pass his catheter after cycling the AUS. CONCLUSIONS Bladder neck artificial urinary sphincter is effectively placed in a minimally invasive fashion with a robot assisted laparoscopic approach; the approach provides excellent visualization of the posterior dissection. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e68 Advertisement Copyright & Permissions© 2017MetricsAuthor Information John Schomburg More articles by this author Mya Levy More articles by this author Sean Elliott More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...