V02-09 ROBOTIC EXTRAVESICAL MULLERIAN DUCT REMNANT EXCISION

You have accessJournal of UrologyMisc. Benign Disease & Transplant Renovascular (V02)1 Sep 2021V02-09 ROBOTIC EXTRAVESICAL MULLERIAN DUCT REMNANT EXCISION Laura Kidd, Chinonyerem Okoro, and Daniel Eun KiddLaura Kidd More articles by this author , OkoroChinonyerem Okoro EunDaniel View All Author Informationhttps://doi.org/10.1097/JU.0000000000001979.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: We present a 13-year-old male with history mixed gonadal dysgenesis who presented abdominal pain urinary frequency. He was admitted for work-up, which revealed negative urine culture but 13.9 cm Mullerian duct remnant (MDR). The patient underwent cystoscopic drainage, provided temporary relief, seven months later his recurred he developed gross hematuria. Repeat imaging showed the same MDR, now 10 in size. referred robotic surgical repair. METHODS: Cystourethroscopy mound heaped tissue at 6 o’clock prostatic urethra, corresponding opening remnant. This not cannulated, avoid draining prior its dissection. placed steep Trendelenburg three-port configuration used (right, camera, left), no assistant port. bladder filled vesicouterine plane carefully developed, taking care control any encountered vessels feeding MDR. dissected down neck. Near infrared fluoroscopy (NIF) white light from cystoscope urethra confirm exact insertion point. also visualized bedside view, gentle prodding instrument. MDR then amputated point defect closed single layer. Intraoperative cystoscopy confirmed excellent closure luminal narrowing or back-wall suture bites. A coude catheter end case. RESULTS: Estimated blood loss 50cc, total operative time 97 minutes. No complications were encountered. discharged on post-operative day 0. Pathology consistent Catheter removed 2 weeks continues do well 2-month follow-up. CONCLUSIONS: remnants are rare presenting symptoms can vary. Endoscopic management be attempted, failure often necessitates more definitive safely performed robotically, intraoperative urethroscopy help identify urethral if cannulation is not, cannot be, pre-operatively. In limited literature, as our experience, perioperative outcomes favorable. Source Funding: None © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e136-e136 Advertisement Copyright Permissions© Inc.MetricsAuthor Information Expand Loading ...