Robot-assisted Radical Cystectomy Using Real-time Transrectal Ultrasound Guidance in a Patient Who Had Radical Prostatectomy and Salvage External Beam Radiation Therapy

Overview

Journal IJU Case Rep

Date 2025 Jan 3

PMID 39749306

Authors

Yuta Inoue

Takeshi Yamada

Yuji Okusa

Hideto Taga

Takashi Ueda

Takumi Shiraishi

Atsuko Fujihara

Masayoshi Okumi

Fumiya Hongo

Osamu Ukimura

Affiliations

Soon will be listed here.

Abstract

Introduction: Radical cystectomy for patients who previously underwent both radical prostatectomy and prostatic bed radiation is technically challenging.

Case Presentation: A 78-year-old man with a history of radical prostatectomy and salvage radiation for prostate cancer was referred to our hospital for radical treatment of bladder cancer. After two cycles of neoadjuvant chemotherapy, he underwent robot-assisted radical cystectomy with real-time transrectal ultrasound guidance during dissection of the rectovesical space to minimize the risk of rectal injury. There were no perioperative adverse events.

Conclusion: Intraoperative real-time transrectal ultrasound guidance could assist surgeons to safely perform the dissection of the rectovesical space in the surgically high-risk patient.

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