1
|
Benn M, Hii W. Robotic-assisted laparoscopic resection of a pelvic solitary fibrous tumour causing distal ureteric compression. BMJ Case Rep 2024; 17:e260603. [PMID: 38964876 DOI: 10.1136/bcr-2024-260603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/06/2024] Open
Abstract
This case report describes a male in his late 40s with a 4 cm pelvic mass compressing the left distal ureter, resulting in left hydroureteronephrosis. Biopsy of the mass was suggestive of a solitary fibrous tumour. The patient underwent a robotic-assisted laparoscopic excision of the left pelvic mass. Intraoperatively, the mass was found to be densely adhered to the ureter, necessitating a left distal ureterectomy and ureteric reimplantation. Subsequent histopathological analysis revealed the mass was a solitary fibrous tumour with no evidence of malignancy.
Collapse
Affiliation(s)
- Matthew Benn
- Department of Urology, Ipswich Hospital, Ipswich, Queensland, Australia
- School of Medicine and Dentistry, Griffith University Faculty of Health, Gold Coast, Queensland, Australia
| | - Wesley Hii
- Department of Urology, Ipswich Hospital, Ipswich, Queensland, Australia
| |
Collapse
|
2
|
Gupta A, Khosa J, Barker A, Samnakay N. Clinical spectrum and management options for prostatic utricle in children. J Pediatr Surg 2022; 57:690-695. [PMID: 35101262 DOI: 10.1016/j.jpedsurg.2022.01.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Revised: 01/05/2022] [Accepted: 01/12/2022] [Indexed: 12/28/2022]
Abstract
PURPOSE Prostatic utricle (PU) has been described in children with hypospadias, posterior urethral valves (PUV), variances of sex characteristics and normal external genitalia. Intervention may be required in symptomatic cases, but clinical characteristics vary, requiring individualisation of management. We describe our experience with this condition. METHODS Retrospective review of males noted to have PU on cystoscopy (2009-2020) at a single centre. Presentation, management and outcomes were recorded (Variances of sex characteristics excluded). RESULTS Of 1060 male children who underwent cystoscopy for various reasons, PU was recorded in 36 (3.4%), indications for cystoscopy being hypospadias in 28, PUV in 3, urinary tract infections (UTI) in 3 and hydronephrosis in 2. Six (16.7%) developed epididymo-orchitis. All 6 had Ikoma Grade II PU. Case 1 (16 years,UTI) was managed with intravenous antibiotics. Case 2 (8 years,hypospadias) underwent laying open of urethral stricture. Case 3 (5 years,PUV) underwent laparoscopic PU excision. Cases 4 and 5 (3 and 6 years, hypospadias) underwent cystoscopic injection of bulking agent near the insertion of the vasa. Case 6 (3 years,hypospadias) underwent laparoscopic PU excision with vasal disconnection (vasal openings at dome of utricle rather than base) following failed endoscopic management. Median follow-up was 36 (0-206) months. All remained asymptomatic with normal testicular volumes for age at current follow-up. CONCLUSION Multiple treatment options to address a symptomatic PU have been described and enable surgeons to individualise treatment based on clinical circumstances. It is important to identify variations in anatomy of vasal connection to PU to plan appropriate management. LEVEL OF EVIDENCE IV (Retrospective study).
Collapse
Affiliation(s)
- Alisha Gupta
- Department of Paediatric surgery and urology, Perth Children's Hospital, 15, Hospital Avenue, Nedlands, Western Australia, 6009, Australia.
| | - Japinder Khosa
- Department of Paediatric surgery and urology, Perth Children's Hospital, 15, Hospital Avenue, Nedlands, Western Australia, 6009, Australia
| | - Andrew Barker
- Department of Paediatric surgery and urology, Perth Children's Hospital, 15, Hospital Avenue, Nedlands, Western Australia, 6009, Australia
| | - Naeem Samnakay
- Department of Paediatric surgery and urology, Perth Children's Hospital, 15, Hospital Avenue, Nedlands, Western Australia, 6009, Australia; Clinical Associate Professor, Division of Surgery, Medical School, University of Western Australia
| |
Collapse
|
3
|
Qin J, Zhu Y, Kong M, Wang P, Xia D, Wang S. Robot-assisted laparoscopic resection of a pelvic solitary fibrous tumor. J Int Med Res 2021; 49:300060520981479. [PMID: 33530794 PMCID: PMC7871082 DOI: 10.1177/0300060520981479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
Solitary fibrous tumor (SFT) is a rare soft tissue neoplasm of mesenchymal origin. SFT is most commonly located in the thoracic cavity (in approximately 80% of cases), but can also develop rarely in the pelvis. A 47-year-old man presented to our hospital with a pelvic tumor that was discovered during a health checkup. We performed transperitoneal robotic resection of the pelvic tumor. Intraoperative blood loss and the console time were 100 mL and 2 hours 42 minutes, respectively, and no intraoperative or postoperative complications were recorded. Histologic analysis revealed a pelvic SFT with negative surgical margins. The patient was followed-up for 13 months with no evidence of tumor recurrence. To our knowledge, this is the first report of robot-assisted laparoscopic resection of a pelvic SFT.
Collapse
Affiliation(s)
- Jie Qin
- Department of Urology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China
| | - Yi Zhu
- Department of Urology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China
| | - Mei Kong
- Department of Pathology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China
| | - Ping Wang
- Department of Urology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China
| | - Dan Xia
- Department of Urology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China
| | - Shuo Wang
- Department of Urology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China
| |
Collapse
|
4
|
Jaffer M, Mitra S, Mandal S, Das M, Mahlingam R, Nayak P. Cystadenoma of the Seminal Vesicle: A Case Report of Rare Seminal Vesical Tumor and Review of Literature. Urology 2019; 123:e11-e14. [DOI: 10.1016/j.urology.2018.10.032] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2018] [Revised: 10/16/2018] [Accepted: 10/18/2018] [Indexed: 10/28/2022]
|
5
|
Videourology Abstracts. J Endourol 2018; 32:1173-1176. [PMID: 30307744 DOI: 10.1089/end.2018.29048.vid] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
6
|
Razdan S, Kryvenko ON, Razdan S. Robotic-assisted laparoscopic vesiculectomy in a patient with atypical Zinner syndrome presenting with large cyst involving bilateral seminal vesicles and vasa deferentia. Urol Case Rep 2018; 18:79-81. [PMID: 29785379 PMCID: PMC5958925 DOI: 10.1016/j.eucr.2018.03.014] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2018] [Revised: 03/18/2018] [Accepted: 03/21/2018] [Indexed: 11/23/2022] Open
Affiliation(s)
- Shirin Razdan
- University of Miami Miller School of Medicine, Miami, FL, USA
| | - Oleksandr N Kryvenko
- Department of Pathology and Laboratory Medicine, Department of Urology, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Sanjay Razdan
- International Robotic Prostatectomy Institute, Miami, FL, USA
| |
Collapse
|
7
|
Goruppi I, Avolio L, Romano P, Raffaele A, Pelizzo G. Robotic-assisted surgery for excision of an enlarged prostatic utricle. Int J Surg Case Rep 2015; 10:94-6. [PMID: 25818371 PMCID: PMC4430202 DOI: 10.1016/j.ijscr.2015.03.024] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2014] [Revised: 03/10/2015] [Accepted: 03/11/2015] [Indexed: 12/04/2022] Open
Abstract
Prostatic utricle is a rare malformation originating from incomplete regression of Mullerian ducts. Mini invasive approach is considered the gold standard for surgical treatment. Few cases of robot-assisted excision have been reported in the literature. We report a case treated with robotic-assisted surgery.
Introduction Prostatic utricle is a rare malformation arising from incomplete regression of the Müllerian ducts. Diagnosis is easily made but management may be challenging. The minimally invasive approach has so far been considered the gold standard for surgical treatment. Many endoscopic and surgical procedures have been described for removal, but to date only few cases of robot-assisted procedures have been mentioned in the literature and there are no reports of redos. Presentation of the case We report the case of a giant prostatic utricle cyst successfully treated with robotic-assisted surgery two years after an unsuccessful first attempt at laparoscopic excision. No relapse was found at one year follow up. Discussion We were able to excise a retro-vescical structure in spite of adhesions caused by the previous surgery and the very large size of the diverticulum thanks to the high magnification and 3-D visualization available in robotic assisted laparoscopy. Conclusion Robot assisted laparoscopy should be considered an advantageous technique for the treatment of prostatic utricle.
Collapse
Affiliation(s)
- Ilaria Goruppi
- Department of Mother and Child Health, Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo and University of Pavia, Italy.
| | - Luigi Avolio
- Department of Mother and Child Health, Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo and University of Pavia, Italy
| | - Piero Romano
- Department of Mother and Child Health, Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo and University of Pavia, Italy
| | - Alessandro Raffaele
- Department of Mother and Child Health, Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo and University of Pavia, Italy
| | - Gloria Pelizzo
- Department of Mother and Child Health, Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo and University of Pavia, Italy
| |
Collapse
|
8
|
Campi R, Serni S, Raspollini MR, Tuccio A, Siena G, Carini M, Minervini A. Robot-Assisted Laparoscopic Vesiculectomy for Large Seminal Vesicle Cystadenoma: A Case Report and Review of the Literature. Clin Genitourin Cancer 2015; 13:e369-73. [PMID: 25862321 DOI: 10.1016/j.clgc.2015.02.011] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2015] [Revised: 02/20/2015] [Accepted: 02/27/2015] [Indexed: 10/23/2022]
Affiliation(s)
- Riccardo Campi
- Department of Urology, Careggi Hospital, University of Florence, Florence, Italy.
| | - Sergio Serni
- Department of Urology, Careggi Hospital, University of Florence, Florence, Italy
| | | | - Agostino Tuccio
- Department of Urology, Careggi Hospital, University of Florence, Florence, Italy
| | - Giampaolo Siena
- Department of Urology, Careggi Hospital, University of Florence, Florence, Italy
| | - Marco Carini
- Department of Urology, Careggi Hospital, University of Florence, Florence, Italy
| | - Andrea Minervini
- Department of Urology, Careggi Hospital, University of Florence, Florence, Italy
| |
Collapse
|
9
|
Robot-Assisted Laparoscopic Excision of Symptomatic Retrovesical Cysts in Boys and Young Adults. J Urol 2011; 186:2372-8. [DOI: 10.1016/j.juro.2011.07.113] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2011] [Indexed: 11/22/2022]
|
10
|
Abstract
OBJECTIVES This article reviews the evidence regarding the feasibility, safety, benefits, limitations, and costs of robotically assisted surgery in children, evaluates how the technology compares with other pediatric surgical techniques, and provides insights about the near and more-distant future of the technology. METHODS The peer-reviewed medical pediatric literature was searched for studies that provided evidence of the feasibility and safety of robotic surgery in children and for studies that compared pediatric robotic surgery with conventional laparoscopic surgery or open surgery. RESULTS A total of 8 case series and 5 studies comparing robotic surgery with open or conventional laparoscopic surgery met the selection criteria for review. A few small studies that focused on rare complex surgical procedures also were reviewed. All studies were designed to evaluate the feasibility and safety of robotic surgery in children. None of the studies was randomized, and some studies had a retrospective design. These studies demonstrated that a number of routine, robotically assisted, laparoscopic and thoracic procedures were feasible and safe when performed by surgeons experienced in the technique, although robotic surgery did not provide superior outcomes, compared with traditional laparoscopic and open surgery. The advantages of the robotic system were best seen in complex procedures that involved areas that were difficult to access and in procedures in which dissection of delicate, anatomic structures was required. CONCLUSIONS Robotic surgery is feasible and safe for a number of pediatric surgical procedures, but evidence that it offers better clinical outcomes than conventional open or laparoscopic techniques is lacking.
Collapse
Affiliation(s)
- Goedele van Haasteren
- Hayes Inc, Independent Health Technology Assessment Company, Lansdale, Pennsylvania 19446, USA.
| | | | | |
Collapse
|