Robotic Bladder Diverticulectomy: Management of a Congenital Bladder Diverticulum in an Infant
Amanda R. Raines, MD1, Christopher C. Roth, MD2.
1Tulane University Medical Center, New Orleans, LA, USA, 2Children's Hospital of New Orleans, New Orleans, LA, USA.
Robotic Bladder Diverticulectomy: Management of a Congenital Bladder Diverticulum in an Infant
Authors: Amanda R. Raines and Christopher C. Roth
Children's Hospital of New Orleans, Tulane University, Louisiana State University
Purpose: Open bladder diverticulectomy is a well-established treatment option for patients with symptomatic congenital bladder diverticulum. We demonstrate a minimally invasive treatment option for treatment of a bladder diverticulum which contained the insertion of the ureter in an infant using a robotic approach.
Methods: Our patient presented as a 10-month-old in urinary retention and was found to have a large bladder diverticulum on ultrasound and VCUG. We began with cystoscopy which showed a large left sided bladder diverticulum and no visible left ureteral orifice. We then proceeded with robotic bladder diverticulectomy. The diverticulum was excised and the ureter was reimplanted into the bladder with a non-refluxing mechanism.
Results: Bladder diverticulectomy with ureteral reimplant was successfully performed using the robot. Post operatively the patient did well and on cystogram and ultrasound at six weeks post op there was a smooth bladder contour with no reflux or extravasation of contrast.
Conclusion: Robotic bladder diverticulectomy with ureteral reimplant is an effective approach to treatment of congenital bladder diverticulum in the pediatric population.
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