Abstract

You have accessJournal of UrologyCME1 Apr 2023MP60-15 FAVORABLE PERIOPERATIVE AND FUNCTIONAL OUTCOMES AFTER ROBOTIC-ASSISTED BLADDER DIVERTICULECTOMY Rohit Reddy, Brandon Merkert, Naveen Krishnan, and Daniel Eun Rohit ReddyRohit Reddy More articles by this author , Brandon MerkertBrandon Merkert More articles by this author , Naveen KrishnanNaveen Krishnan More articles by this author , and Daniel EunDaniel Eun More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003318.15AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Robotic-assisted bladder diverticulectomy (RABD) has recently emerged as a management option for patients with problematic bladder diverticula due to recurrent urinary tract infections (rUTI) or incomplete emptying. Previous literature has shown favorable outcomes for RABD when combined with other procedures such as robotic-assisted simple or radical prostatectomy (RASP/RARP), but none have assessed RABD as a stand-alone procedure. The purpose of this study is to present the largest case series of stand-alone RABD and report perioperative and functional outcomes. METHODS: A retrospective analysis of all RABDs at a single institution from 2012-2021 was performed, and the subset of stand-alone RABDs was isolated. The primary outcome of interest was the change in AUA Symptom Score (AUA-SS) and post-void residual (PVR) after stand-alone RABD. RESULTS: A total of 70 patients underwent RABD, 16 of which were stand-alone RABD (23%) (Table 1). Indications for RABD included rUTI (5/16, 31%), incomplete emptying (13/16, 81%), and diverticular tumors (2/16, 13%). The median age was 70.5 and BMI was 29.7. Median operative time was 139 minutes, and none had Clavien 3 or greater complications within 90 days. Eleven patients (69%) had a staged outlet procedure, either before or after RABD. At median 1 year follow up, there were significant improvements in AUA-SS (21.5-6, p<0.001), PVR (452-20, p=0.01), number of patients that were catheter dependent (13-2, p<0.001), and number with UTIs (5-0, p=0.04) (Table 2). CONCLUSIONS: RABD is safe and effective as a stand-alone procedure, with long-term improvement in incomplete emptying and reduction of UTIs. Source of Funding: Temple University Hospital © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e849 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Rohit Reddy More articles by this author Brandon Merkert More articles by this author Naveen Krishnan More articles by this author Daniel Eun More articles by this author Expand All Advertisement PDF downloadLoading ...