Robotic-assisted bladder neck reconstruction using the Goebell-Stoeckel technique and Mitrofanoff appendicovesicostomy
Epublication WebSurg.com, Sep 2012;12(09). URL: http://websurg.com/doi/vd01en3789
This video reports our experience with robotic bladder neck reconstruction using the Goebell Stoeckel technique and Mitrofanoff appendicovesicostomy. It is the case of a 62-year-old woman who initially had her urinary stress incontinence treated with a suburethral sling that resulted in the migration of the prosthetic material in the urethra. After prosthesis removal, two attempts of suburethral slings and an attempt at balloon implantation also resulted in erosions and migration of the prosthetic material. We recommend a continent derivation according to Mitrofanoff principles along with a suburethral autologous sling using Goebell Stoeckel technique. The video demonstrates that this procedure is feasible and safe with encouraging results.