Robotic radical cystectomy with concomitant implantation of 3-piece penile prosthesis: a one-step solution.

Autor:	Izzo A; Uro-Gynecological Department, Fondazione 'G. Pascale' IRCCS, Via M. Semmola, Naples, 80131, Italy., Quarto G; Uro-Gynecological Department, Fondazione 'G. Pascale' IRCCS, Naples, Campania, Italy., Grimaldi G; Uro-Gynecological Department, Fondazione 'G. Pascale' IRCCS, Naples, Campania, Italy., Castaldo L; Uro-Gynecological Department, Fondazione 'G. Pascale' IRCCS, Naples, Campania, Italy., Muscariello R; Uro-Gynecological Department, Fondazione 'G. Pascale' IRCCS, Naples, Campania, Italy., Franzese D; Uro-Gynecological Department, Fondazione 'G. Pascale' IRCCS, Naples, Campania, Italy., Del Prete P; Scientific Directorate, Fondazione 'G. Pascale' IRCCS, Naples, Campania, Italy., Ferro M; Division of Urology, European Institute of Oncology IRCCS, Milan, Lombardia, Italy., Barberio D; Psychology Unit, Fondazione 'G. Pascale' IRCCS, Naples, Campania, Italy., Bolognini I; Psychology Unit, Fondazione 'G. Pascale' IRCCS, Naples, Campania, Italy., Bianchi AAM; Directorate-General for Management, Fondazione 'G. Pascale' IRCCS, Naples, Campania, Italy., Autorino R; Division of Urology, VCU Health, Richmond, VA, USA., Perdonà S; Uro-Gynecological Department, Fondazione 'G. Pascale' IRCCS, Naples, Campania, Italy.
Jazyk:	angličtina
Zdroj:	Therapeutic advances in urology [Ther Adv Urol] 2021 Jun 15; Vol. 13, pp. 17562872211024512. Date of Electronic Publication: 2021 Jun 15 (Print Publication: 2021).
DOI:	10.1177/17562872211024512
Abstrakt:	Radical cystectomy (RC) remains a highly morbid urologic procedure, and erectile dysfunction (ED) represents a significant burden for bladder cancer survivors. While inflatable penile prosthesis (IPP) offers a definitive treatment option for post-RC ED, the hostile postoperative anatomy of RC patients poses some technical challenges for IPP implantation. We report the case of a 54-year-old male with high grade bladder cancer who was managed with a robotic-assisted RC with Bricker ileal conduit urinary diversion and simultaneous implantation of a 3-piece IPP. Operative time was 310 min (230 min for the RC and ileal conduit portion, 80 min for IPP implantation). Estimated blood loss was 300 ml. Postoperative course was regular. The patient was discharged home on postoperative day 6. A robotic RC with concomitant IPP implantation can be offered as "one-step" solution to bladder cancer male patients. This approach can potentially offer the advantage of better outcome in terms of sexual function, while minimizing surgical risks, ultimately improving the quality of life of these patients. Competing Interests: Conflict of interest statement: The author(s) declare that there is no conflict of interest. (© The Author(s), 2021.)
Databáze:	MEDLINE
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