V9-04 ONE-STAGE TRANSVESICAL LAPAROENDOSCOPIC SINGLE-SITE SURGERY (T-LESS) FOR REMOVAL OF TWO BLADDER DIVERTICULA IN A FEMALE PATIENT.

Abstract

You have accessJournal of UrologyInfertility, ED, and Reconstruction Lower Tract (II)1 Apr 2017V9-04 ONE-STAGE TRANSVESICAL LAPAROENDOSCOPIC SINGLE-SITE SURGERY (T-LESS) FOR REMOVAL OF TWO BLADDER DIVERTICULA IN A FEMALE PATIENT. Marek Roslan, Maciej Przudzik, Michal Borowik, and Miroslaw Lesiów Marek RoslanMarek Roslan More articles by this author , Maciej PrzudzikMaciej Przudzik More articles by this author , Michal BorowikMichal Borowik More articles by this author , and Miroslaw LesiówMiroslaw Lesiów More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.2440AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Bladder diverticula are usually encountered in males, and they are a rarity in women, especially in the absence of obstruction. Open surgery, as well as laparoscopic or robotic, or single-port surgery have been applied successfully to remove bladder diverticula. To the best of our knowledge, no single-port diverticulectomies have been performed in women. We present the case of using the transvesical laparoendoscopic single-port surgery (T-LESS) for excision of two bladder diverticula in a woman METHODS In August 2016, we carried out the T-LESS access on a 67-year old woman to remove two symptomatic bladder diverticula in one session. The patient was placed in the lithotomy position and was under general anesthesia.The procedure was performed transvesically (percutaneous intraluminal approach) with a single-port device (Tri-Port+) via a 1.5-cm incision made 3 cm above the pubic symphysis. Standard 10-mm optic and straight laparoscopic instruments were used. The diverticula were dissected and removed from the bladder with a combination of standard laparoscopic and endoscopic instruments introduced through the TriPort+ or the urethra. The bladder wall openings were closed by running absorbable 2/0 polyglactin sutures. An 18F Foley catheter was left in place for 6 days. RESULTS The operation lasted 120 minutes. Blood loss was minimal, and no complications were observed. The postoperative period was uneventful. The patient was discharged within 18 hours of surgery. During a nine-week follow-up, the patient reported the significant improvement in the severity of symptoms. Laboratory examination results were all within the normal range. CONCLUSIONS The T-LESS procedure can be considered as a valuable option for diverticulectomies in female patients because of its minimal invasiveness, short hospital stay and fast recovery time © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e1057 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Marek Roslan More articles by this author Maciej Przudzik More articles by this author Michal Borowik More articles by this author Miroslaw Lesiów More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...