Robotic assisted laparoscopic prostatectomy in a patient with prostate cancer and complex urinary tract malformation.

We present a case of prostate cancer with abnormal renal and ureteric anatomy who underwent robotic assisted laparoscopic prostatectomy. This is a 59-year-old European patient who presented with lower urinary tract symptoms (LUTS) and pelvic pain. Investigations revealed prostate cancer as well as a supernumerary right kidney and an atrophic horseshoe left kidney draining into the left seminal vesicle. He was managed with robotic assisted laparoscopic prostatectomy (RALP) using a modified technique. Selective pre-operative investigations and patient counselling led to proper operative planning and good surgical technique and outcome.

Urology case reports. 2021 Mar 17*** epublish ***

Mohamed Abd-Alazeez, Sidath H Liyanage, Juliet Campbell, Maria Guzha, Mohamed Saad, Peter Acher

Southend University Hospital, Mid and South Essex NHS Foundation Trust, UK.