Robot‐assisted radical cystectomy using real‐time transrectal ultrasound guidance in a patient who had radical prostatectomy and salvage external beam radiation therapy

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...

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Main Authors: Yuta Inoue, Takeshi Yamada, Yuji Okusa, Hideto Taga, Takashi Ueda, Takumi Shiraishi, Atsuko Fujihara, Masayoshi Okumi, Fumiya Hongo, Osamu Ukimura
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:IJU Case Reports
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Online Access:https://doi.org/10.1002/iju5.12799
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author Yuta Inoue
Takeshi Yamada
Yuji Okusa
Hideto Taga
Takashi Ueda
Takumi Shiraishi
Atsuko Fujihara
Masayoshi Okumi
Fumiya Hongo
Osamu Ukimura
author_facet Yuta Inoue
Takeshi Yamada
Yuji Okusa
Hideto Taga
Takashi Ueda
Takumi Shiraishi
Atsuko Fujihara
Masayoshi Okumi
Fumiya Hongo
Osamu Ukimura
author_sort Yuta Inoue
collection DOAJ
description 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.
format Article
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institution Kabale University
issn 2577-171X
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publishDate 2025-01-01
publisher Wiley
record_format Article
series IJU Case Reports
spelling doaj-art-e9c0ded0fda847ba92c1693bf9f593b82025-01-01T23:35:59ZengWileyIJU Case Reports2577-171X2025-01-0181283110.1002/iju5.12799Robot‐assisted radical cystectomy using real‐time transrectal ultrasound guidance in a patient who had radical prostatectomy and salvage external beam radiation therapyYuta Inoue0Takeshi Yamada1Yuji Okusa2Hideto Taga3Takashi Ueda4Takumi Shiraishi5Atsuko Fujihara6Masayoshi Okumi7Fumiya Hongo8Osamu Ukimura9Department of Urology Kyoto Prefectural University of Medicine Kyoto JapanDepartment of Urology Kyoto Second Red Cross Hospital Kyoto JapanDepartment of Urology Kyoto First Red Cross Hospital Kyoto JapanDepartment of Urology Kyoto Prefectural University of Medicine Kyoto JapanDepartment of Urology Kyoto Prefectural University of Medicine Kyoto JapanDepartment of Urology Kyoto Prefectural University of Medicine Kyoto JapanDepartment of Urology Kyoto Prefectural University of Medicine Kyoto JapanDepartment of Urology Kyoto Prefectural University of Medicine Kyoto JapanDepartment of Urology Kyoto Prefectural University of Medicine Kyoto JapanDepartment of Urology Kyoto Prefectural University of Medicine Kyoto JapanIntroduction 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.https://doi.org/10.1002/iju5.12799radical prostatectomyrectal injuryrobot‐assisted radical cystectomysalvage external beam radiation therapytransrectal ultrasound
spellingShingle Yuta Inoue
Takeshi Yamada
Yuji Okusa
Hideto Taga
Takashi Ueda
Takumi Shiraishi
Atsuko Fujihara
Masayoshi Okumi
Fumiya Hongo
Osamu Ukimura
Robot‐assisted radical cystectomy using real‐time transrectal ultrasound guidance in a patient who had radical prostatectomy and salvage external beam radiation therapy
IJU Case Reports
radical prostatectomy
rectal injury
robot‐assisted radical cystectomy
salvage external beam radiation therapy
transrectal ultrasound
title Robot‐assisted radical cystectomy using real‐time transrectal ultrasound guidance in a patient who had radical prostatectomy and salvage external beam radiation therapy
title_full Robot‐assisted radical cystectomy using real‐time transrectal ultrasound guidance in a patient who had radical prostatectomy and salvage external beam radiation therapy
title_fullStr Robot‐assisted radical cystectomy using real‐time transrectal ultrasound guidance in a patient who had radical prostatectomy and salvage external beam radiation therapy
title_full_unstemmed Robot‐assisted radical cystectomy using real‐time transrectal ultrasound guidance in a patient who had radical prostatectomy and salvage external beam radiation therapy
title_short Robot‐assisted radical cystectomy using real‐time transrectal ultrasound guidance in a patient who had radical prostatectomy and salvage external beam radiation therapy
title_sort robot assisted radical cystectomy using real time transrectal ultrasound guidance in a patient who had radical prostatectomy and salvage external beam radiation therapy
topic radical prostatectomy
rectal injury
robot‐assisted radical cystectomy
salvage external beam radiation therapy
transrectal ultrasound
url https://doi.org/10.1002/iju5.12799
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