Laparoscopic urinary bladder diverticulectomy combined with photoselective vaporisation of the prostate
Abstrakt
Introduction: Pseudodiverticulum of the urinary bladder is mostly a complication of subvesical obstruction (SO). The gold standard of treatment was open diverticulectomy with adenectomy.
A more contemporary resolution is endoscopic, in two steps: the first transurethral resection of the prostate (TURP), the second laparoscopic diverticulectomy (LD). Aim: To present a one-session procedure - photoselective vaporisation of the prostate (PVP) with LD.
Material and methods: From 1/2011 to 6/2014, 14 LDs were performed: 1 LD only, 1 with laparoscopic radical prostatectomy, 12 combined with treatment of benign prostatic hyperplasia (BPH), 4 cases of TURP and LD in the second period. In 8 cases, PVP and LD in one session were combined.
These 8 cases are presented. 3D CT cystography was used as a gold standard for assessment of diverticulum.