RESUMEN
We found only a recent report of robotic-assisted nephropexy, in a young female with associated dismembered pyeloplasty. Herein we present the first case of isolated robotic nephropexy. A 34-year old female was referred to our Urological Division history of right flank pain and evidence at intravenous urography of a 5-6 cm descent of right kidney moving from supine to erect position. The robotic nephropexy was performed with a transperitoneal approach and 4 trocars. The kidney was wrapped up with a Parietex Composite (PCO) mesh (Tyco Healthcare), previously precut in an hockey stick shape to obtain a "spoon effect" to push up the lower pole of kidney. Despite the laparoscopic or retroperitoneoscopic procedures, the robotic-assisted nephropexy appears easier, with the particular advantages of the intracorporeal suturing and a better intraoperative view. The use of mesh, in our opinion, is preferable respect the decapsulation of the kidney, to avoid unnecessary blood loss and possible scarring.
Asunto(s)
Riñón/anomalías , Riñón/cirugía , Laparoscopía , Robótica , Procedimientos Quirúrgicos Urológicos/métodos , Adulto , Femenino , Dolor en el Flanco/etiología , Humanos , Riñón/diagnóstico por imagen , Laparoscopía/métodos , Robótica/instrumentación , Resultado del Tratamiento , Urografía , Procedimientos Quirúrgicos Urológicos/instrumentaciónRESUMEN
Metastases to the penis from transitional cell carcinoma of the bladder are rare. In the literature about 300 cases of secondary penile malignancies were described; 35% out of these cases were from primary neoplasms of the bladder. The Authors describe a case of priapism secondary to penile metastases from a transitional cell carcinoma of the bladder.