Robot-assisted bladder diverticulectomy sequentially followed by robot-assisted radical prostatectomy: a case series

We aimed to describe a case series of robot-assisted bladder diverticulectomy followed by radical prostatectomy for prostate cancer in a single surgical procedure. Three cases of robot-assisted bladder diverticulectomy and radical prostatectomy were completed between 2013 and 2016. Charts of the three cases were reviewed and analyzed for perioperative and postoperative outcomes. All patients presented with lower urinary tract symptoms, and bladder diverticulum or diverticula was revealed after further evaluation of the patients. In addition, elevated prostate-specific antigen levels were noted. All patients were diagnosed with prostate carcinoma on the basis of subsequent multiparametric MRI studies and biopsies. Three patients underwent da Vinci robot-assisted diverticulectomy followed by radical prostatectomy using a transperitoneal approach. All patients had Foley catheters removed postoperatively after negative cystogram, and no substantial complications were noted. Sequential robot-assisted bladder diverticulectomy—radical prostatectomy is an effective and safe procedure.