TY - JOUR
T1 - Real time ultrasound in laparoscopic bladder diverticulectomy
AU - Porpiglia, Francesco
AU - Terrone, Carlo
AU - Cossu, Marco
AU - Renard, Julien
AU - Grande, Susanna
AU - Scarpa, Roberto Mario
PY - 2005/10
Y1 - 2005/10
N2 - We describe our technique of laparoscopic diverticulectomy under ultrasound (US) guidance after a transurethral resection of prostate (TURP) in the treatment of patients with benign prostatic hyperplasia and bladder diverticulum. A standard TURP is performed with an Iglesias resectoscope. A 12-Fr Foley catheter is positioned in the diverticulum and the catheter balloon is then inflated with 30 mL of water; then a Tiemann catheter is placed through the urethra into the bladder. A US probe is inserted through the 12 mm port placed in the right side by the surgeon, then laparoscopic transperitoneal bladder diverticulectomy is performed under US guidance. In our experience, the use of endolaparoscopic US makes identification and dissection of the diverticulum easy, safe and effective, even when the procedure has to be performed in disadvantageous anatomic conditions such as lateral-posterior diverticulum or post-TURP imbibition of pelvic tissue.
AB - We describe our technique of laparoscopic diverticulectomy under ultrasound (US) guidance after a transurethral resection of prostate (TURP) in the treatment of patients with benign prostatic hyperplasia and bladder diverticulum. A standard TURP is performed with an Iglesias resectoscope. A 12-Fr Foley catheter is positioned in the diverticulum and the catheter balloon is then inflated with 30 mL of water; then a Tiemann catheter is placed through the urethra into the bladder. A US probe is inserted through the 12 mm port placed in the right side by the surgeon, then laparoscopic transperitoneal bladder diverticulectomy is performed under US guidance. In our experience, the use of endolaparoscopic US makes identification and dissection of the diverticulum easy, safe and effective, even when the procedure has to be performed in disadvantageous anatomic conditions such as lateral-posterior diverticulum or post-TURP imbibition of pelvic tissue.
KW - Bladder diverticulectomy
KW - Bladder diverticulum
KW - Laparoscopy
KW - TURP
KW - Ultrasound
UR - http://www.scopus.com/inward/record.url?scp=28444491412&partnerID=8YFLogxK
U2 - 10.1111/j.1442-2042.2005.01180.x
DO - 10.1111/j.1442-2042.2005.01180.x
M3 - Article
SN - 0919-8172
VL - 12
SP - 933
EP - 935
JO - International Journal of Urology
JF - International Journal of Urology
IS - 10
ER -