Robotic-assisted surgery for excision of an enlarged prostatic utricle. (2015)

• Record Type: Journal Article
• Authors: Goruppi, Ilaria; Avolio, Luigi; Romano, Piero; Raffaele, Alessandro; Pelizzo, Gloria
• Is Part Of: International journal of surgery case reports. Volume 10(2015)
• Page Start: 94
• Page End: 96
• Publication Date: 2015
• Subjects: Prostatic utricle -- Disorders sexual differentiation -- Minimally invasive surgery -- Robot assisted laparoscopy; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2015.03.024
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: 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. Abstract: 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.