Calvo David Carracedo, Jiménez Miguel Toledo, Moscatiello Pietro, Izquierdo Tamara Jerez, Rodríguez Nathalie Pereira, Encinas Miguel Sánchez
Rey Juan Carlos University Hospital, 28933 Móstoles, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz (IIS-FJD, UAM), Madrid 28040, Spain.
Rey Juan Carlos University Hospital, 28933 Móstoles, Spain.
Int J Surg Case Rep. 2025 Apr;129:111173. doi: 10.1016/j.ijscr.2025.111173. Epub 2025 Mar 19.
Overactive bladder syndrome is a prevalent condition that significantly affects the quality of life of patients. In cases refractory to first- and second-line treatments, augmentation enterocystoplasty is considered a third-line treatment.
We present the case of a 72-year-old female patient with severe idiopathic overactive bladder syndrome refractory to all previous lines of treatment, in whom robotic augmentation enterocystoplasty was performed. The procedure showed positive results, significantly improving the patient's quality of life without relevant postoperative complications.
Augmentation enterocystoplasty is a well-established third-line treatment for refractory overactive bladder syndrome, providing significant symptom improvement, particularly with the robotic approach, which offers enhanced precision, reduced surgical trauma, and faster recovery. Some of its limitations may include limited access to robotic technology, a steep learning curve, and longer surgical times compared to open surgery. Although long-term complications like self-catheterization and metabolic changes exist, the procedure demonstrates high efficacy and patient satisfaction, reinforcing its value in appropriately selected cases.
Robotic augmentation enterocystoplasty is an effective and safe alternative in cases of refractory overactive bladder syndrome.
膀胱过度活动症是一种普遍存在的疾病，严重影响患者的生活质量。在一线和二线治疗无效的情况下，扩大性膀胱肠成形术被视为三线治疗方法。
我们报告一例72岁女性患者，患有严重的特发性膀胱过度活动症，对之前所有治疗方案均无效，接受了机器人辅助扩大性膀胱肠成形术。该手术显示出积极效果，显著改善了患者的生活质量，且无相关术后并发症。
扩大性膀胱肠成形术是治疗难治性膀胱过度活动症的一种成熟的三线治疗方法，能显著改善症状，尤其是采用机器人手术方式，具有更高的精准度、更小的手术创伤和更快的恢复速度。其局限性可能包括机器人技术的获取受限、学习曲线较陡以及与开放手术相比手术时间更长。尽管存在自我导尿和代谢变化等长期并发症，但该手术显示出高疗效和患者满意度，在适当选择的病例中强化了其价值。
机器人辅助扩大性膀胱肠成形术是难治性膀胱过度活动症病例中一种有效且安全的选择。
