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Minerva Urologica e Nefrologica 2018 October;70(5):534-7

DOI: 10.23736/S0393-2249.18.03136-3

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

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

Erdem KOç ¹ ✉, Ali F. ATMACA ², Erem ASIL ¹, Bahri GOK ², Abdullah E. CANDA ³, Mevlana D. BALBAY ³

¹ Department of Urology, Ankara Atatürk Training and Research Hospital, Ankara, Turkey; ² Department of Urology, Ankara Yıldırım Beyazıt University, School of Medicine affiliated with Ankara Atatürk Training and Research Hospital, Ankara, Turkey; ³ Department of Urology, Koc University, School of Medicine, İstanbul, Turkey

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.

KEY WORDS: Robotic surgical procedures - Cystectomy - Urinary diversion - Ureter, bifid or double - Urinary bladder neoplasms