Combined robot-assisted surgery at the Urology Department of the Jahn Ferenc Dél-pest Hospital in Budapest: treatment of complex urinary tract stones, complete urinary retention and bilateral inguinal hernia in one session
DOI: 10.22591/magyurol.2025.2.bozsakia.55
Authors:
Bozsaki Ákos dr., Szegedi Ákos dr., Magyar András dr., Tenke Péter dr.
Budapesti Jahn Ferenc Dél-pesti Kórház és Rendelőintézet, Budapest (osztályvezető: Tenke Péter dr.)
Summary
Introduction: The Department of Urology of the Jahn Ferenc South Pest Hospital in Budapest has been offering robotic-assisted surgery since 2022, and over the years it has become routine for many oncological and reconstructive urological procedures.
Case report: In this case report, we describe the single-session combined robotic-assisted surgery of a patient with complex urolithiasis, complete urinary retention, and bilateral inguinal hernia. The 66-year-old man had a history of urolithiasis, prostatic hyperplasia, and urinary retention. The preoperative imaging studies confirmed ureteral and bladder stones, significant prostatic hyperplasia, and bilateral inguinal hernia. After appropriate preparations, we performed a combined robot-assisted surgery in one session, during which we performed Millin adenomectomy, bladder stone removal, left ureter resection, ureter neoimplantation and bilateral inguinal hernia surgery. The surgery lasted 200 minutes and no complications occurred
Conclusion: The increase in robot-assisted surgical experience and the increasingly shorter surgical times allow the use of combined surgical types in justified cases. Such approaches not only provide significant benefits for the patients, but also it can contribute to optimizing the use of surgical capacity more effectively.