Management of ureteric duplications identified during robotic cystectomy and intracorporeal urinary diversion.


Koc E. , Atmaca A. F. , Asil E., Gok B. , Canda A. E. , Balbay M. D.

Minerva urologica e nefrologica = The Italian journal of urology and nephrology, vol.70, no.5, pp.534-537, 2018 (Journal Indexed in SCI Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 70 Issue: 5
  • Publication Date: 2018
  • Doi Number: 10.23736/s0393-2249.18.03136-3
  • Title of Journal : Minerva urologica e nefrologica = The Italian journal of urology and nephrology
  • Page Numbers: pp.534-537

Abstract

Ureteral duplication is rarely seen malformation that could be diagnosed during radiological imaging. Herein, we present 5 patients with ureteral duplication who underwent robotic radical cystectomy with intracorporeal urinary diversion for bladder cancer. Preoperative computerized tomography did not show presence of a ureteral duplication in any patient and all were identified intraoperatively. A Wallace type uretero-ureteral anastomosis was performed in all patients. During the follow-up period, we did not detect any ureterointestinal anastomotic strictures or complication related to the presence of a ureteral duplication following robotic cystectomy. We conclude that ureteral duplication might be missed during preoperative radiological imaging, might be a surprising and challenging issue for the robotic surgeon that could be safely managed intraoperatively.