V3-11 ROBOTIC-ASSISTED EPIGASTRIC ARTERY HARVEST: A NOVEL APPROACH TO PENILE REVASCULARIZATION

Abstract

You have accessJournal of UrologyMale Voiding/Sexual Dysfunction/BPH/ Incontinence/Infection/Infertility1 Apr 2015V3-11 ROBOTIC-ASSISTED EPIGASTRIC ARTERY HARVEST: A NOVEL APPROACH TO PENILE REVASCULARIZATION Michael Aberger, Katie Murray, Joshua Broghammer, and David Duchene Michael AbergerMichael Aberger More articles by this author , Katie MurrayKatie Murray More articles by this author , Joshua BroghammerJoshua Broghammer More articles by this author , and David DucheneDavid Duchene More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.1352AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Penile revascularization procedures are performed in select urology patients with demonstrated arteriogenic insufficiency following pelvic trauma. Revascularization with epigastric vessels has traditionally been performed with an open abdominal incision. Newer studies have begun describing minimally invasive robotic approaches for this procedure. We sought to report our institution's experience with robotic-assisted epigastric artery harvesting for penile revascularization. METHODS Our case involves a 55 year old male trauma patient presenting following pelvic crush injury with subsequent development of a urethral stricture. Duplex doppler penile ultrasound demonstrated inflow arterial insufficiency. Arteriogram demonstrated occlusion of pudendal arteries with no evidence of flow to the penile shaft. Decision was made to perform revascularization of epigastric artery to dorsal artery of the penis using the novel robotic-assisted approach. RESULTS Following his procedure, the patient went out to have successful buccal urethroplasty one month later with subsequent voiding cystourethrogram without evidence of stricture recurrence. Follow-up duplex doppler ultrasound of the penis demonstrated greatly improved arterial penile inflow. CONCLUSIONS Robotic-assisted epigastric artery harvesting is a novel, minimally invasive approach to penile revascularization which allows for improved cosmetic results, quicker recovery time and shorter hospital stay compared to traditional open surgical approaches. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e338 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Michael Aberger More articles by this author Katie Murray More articles by this author Joshua Broghammer More articles by this author David Duchene More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...