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Robot-Assisted Reconstruction of the Lower Urinary Tract

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Textbook of Male Genitourethral Reconstruction

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Abstract

Reconstruction of the posterior urethra and bladder outlet is challenging due to poor surgical exposure. Robotic assistance allows for enhanced visualization and improved dexterity in the deep pelvis, offering an addition or alternative to traditional perineal and transabdominal approaches. Moreover, the perineal approach to posterior urethral reconstruction may require extensive urethral mobilization and bulbar artery transection. The robotic approach may allow for preservation of periurethral tissue planes and vasculature, and thus contribute towards improved outcomes if future artificial urinary sphincter placement is necessary.

We describe techniques and outcomes of robotic-assisted approaches to reconstruction of the urethra and bladder outlet. These procedures include robotic-assisted Y-V plasty for treatment of bladder neck contracture (BNC) and vesicourethral anastomotic stenosis (VUAS), and robotic-assisted posterior urethroplasty for radiation induced stenosis (RIS) and pelvic fracture associated posterior urethral injury.

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Author information

Authors and Affiliations

  1. Department of Urology, Oregon Health and Science University, Portland, OR, USA

    Geolani W. Dy

  2. Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA

    Nabeel A. Shakir

  3. Department of Urology, NYU Langone, New York, NY, USA

    Min Suk Jun & Lee C. Zhao

Authors
  1. Geolani W. Dy
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  2. Nabeel A. Shakir
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  3. Min Suk Jun
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  4. Lee C. Zhao
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Corresponding author

Correspondence to Lee C. Zhao .

Editor information

Editors and Affiliations

  1. School of Medicine, University of Lisbon, Lisbon, Portugal

    Francisco E. Martins

  2. Kulkarni Reconstructive Urology Center, Pune, India

    Sanjay B. Kulkarni

  3. Department of Urology, Mayo Clinic, Rochester, MN, USA

    Tobias S. Köhler

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Dy, G.W., Shakir, N.A., Jun, M.S., Zhao, L.C. (2020). Robot-Assisted Reconstruction of the Lower Urinary Tract. In: Martins, F.E., Kulkarni, S.B., Köhler, T.S. (eds) Textbook of Male Genitourethral Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-030-21447-0_33

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  • DOI: https://doi.org/10.1007/978-3-030-21447-0_33

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-21446-3

  • Online ISBN: 978-3-030-21447-0

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