V06-09: Simultaneous perineal urethrectomy and robotic radical cystectomy with extended pelvic lymph node dissection and intracorporeal ileal conduit
To describe the feasibility and time effectiveness of simultaneous perineal urethrectomy and robotic cystectomy with total intracorporeal ileal conduit.
After approval by the Institutional Review Board, we included all consecutive patients who underwent perineal urethrectomy with simultaneous robotic assisted radical cystectomy (RARC) and intracorporeal ileal conduit (ICIC) with the Da Vinci Xi robot, in our institution from January 1st 2018 to September 15th 2018. We compared per-operative data with another group of patients that underwent RARC with ICIC without urethrectomy in our institution during the same period.
In total, there were 2 patients in the simultaneous urethrectomy group and 14 patients in the no urethrectomy group. Extended lymph node dissection was done for all patients in both groups. Firefly was used for the urinary diversion in all cases in both groups. There was no significant difference between the operative time in the simultaneous urethrectomy group (370 min) and the no urethrectomy group (360 min) (p=0.09).
Perineal urethrectomy with simultaneous RARC and ICIC is a feasible and time efficient procedure similar to RARC and ICUD without perineal urethrectomy.