Completely intracorporeal robotic-assisted laparoscopic ileo
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Ileovesicostomy is a surgical procedure performed as an alternative to conservative medical management for patients with neurogenic bladder dysfunction. In an ileovesicostomy procedure, a segment of ileum is anastomosed to the native bladder, creating a low-pressure urinary storage and drainage system designed to help prevent renal damage that is associated with high intravesical pressures. Ileovesicostomy can lead to an overall reduction in morbidity by reducing urinary tract infections, preventing renal damage, and giving patients freedom from the burden of intermittent catheterization.The patient was a 55-year-old man with paraplegia secondary to tropical spastic paresis resulting neurogenic bladder dysfunction. The procedure was performed using a da Vinci Surgical system and took 330 minutes with an estimated blood loss of 100?mL. The patient recovered without perioperative complications. He continues to have low-pressure drainage without urethral incontinence over two years postoperatively...

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