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Synchronous pyeloplasty, bladder diverticulectomy, and simple prostatectomy - All retroperitoneal from a single incision

Year: 2025

Type: article

Abstract: Synchronous Pyeloplasty, Bladder Diverticulectomy, and Simple Prostatectomy – A Single-Incision Retroperitoneal Approach Using the da Vinci SP Robot Authors: Steve Oglivy, PA; Gabriela Mazur, DO; Parker Adams, DO; Robenson Nguyen; Ryan J. Nelson, DO Institution: Henry Ford Macomb Urology Department, Clinton Township, Michigan Introduction The da Vinci® Single Port (SP) robotic system enables multi-quadrant access through a single incision. We present a novel case of synchronous robotic pyeloplasty, bladder diverticulectomy, and simple prostatectomy performed retroperitoneally, eliminating the need for multiple procedures. Methods A 72-year-old male with symptomatic left ureteropelvic junction obstruction (UPJO), a 14 cm bladder diverticulum, and benign prostatic hyperplasia (50 g) underwent a single-stage robotic procedure. A 6 cm retroperitoneal flank incision was used. Running ureteropelvic anastomosis with firefly fluorescence to confirm tissue perfusion. Standard diverticulectomty and transvesical prostatectomy performed. 24fr 3-way foley catheter and 19fr round JP drain used. Admitted overnight for observation and continuous bladder irrigation. Results Operative time was 5 h, with 140 min of console time. Blood loss was 100 mL. The patient was discharged within 24 h. A minor urine leak on postoperative day 18 resolved conservatively by day 28. No major complications occurred within 90 days. Conclusion This case demonstrates the feasibility of a single-incision, synchronous robotic procedure using the SP platform, reducing surgical burden and recovery time while expanding robotic applications in urology.

Source: Urology Video Journal

DOI: 10.1016/j.urolvj.2025.100377

Authors: Steve Oglivy, Gabriela Mazur, Parker Adams, Robenson Nguyen, Ryan J. Nelson

Institutions: Henry Ford Macomb Hospital, Campbell University, Michigan Institute of Urology

Language: English

Topic: Minimally Invasive Surgical Techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $800