Chronic pelvic pain from interstitial cystitis represents a therapeutic challenge, often needing surgical intervention in refractory cases. This study aimed to showcase the efficacy and precision of the DaVinci X Robotic-Assisted Augmented Enterocystoplasty in addressing this pathology.

A 36-year-old female with a history of interstitial cystitis, unresponsive to conventional treatments, underwent the procedure. Key steps involved bladder preparation through lesion excision, vesical pexy, ileal segment selection, U plastia reconstruction, and the creation of an anastomosis between the ileal plastia and bladder. Genuine DaVinci materials ensured procedure fidelity, complemented by an endoscopic double J catheter placement.

The surgery lasted 150 minutes. The patient's hospital stay was 5 days. No immediate postoperative complications were observed. The urinary catheter was removed on day 30 and the double J stent on day 40. Antibiotic therapy wasn't needed. Intermittent catheterization was performed twice daily after catheter removal, with 100 ml per session, later reducing to once nightly. At the 3-month follow-up, significant relief from pelvic pain and improved quality of life were reported. No pain, incontinence, or hematuria was present, and bladder pathology confirmed interstitial cystitis.

Robotic-assisted augmented enterocystoplasty using the DaVinci X system is a promising modality in managing chronic pelvic pain due to interstitial cystitis. Its precision, combined with the enhanced capabilities of robotic systems, offers a viable surgical option for refractory cases, with early indications of successful patient outcomes.

Continence 12S (2024) 101398
DOI: 10.1016/j.cont.2024.101398