{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T11:36:26Z","timestamp":1772537786973,"version":"3.50.1"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Herzzentrum G\u00f6ttingen"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Urol"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Introduction and importance<\/jats:title>\n            <jats:p>\"Congenital anomalies of the kidney and urinary tract\" (CAKUT) represent a heterogeneous and rare group of disorders affecting the urinary tract. Despite the widespread availability of ultrasound, the diagnosis of congenital urinary tract malformations is often made in adulthood. As a result, CAKUT are typically incidental findings during imaging investigations. This case report represents the first description of a simultaneous surgical therapy of CAKUT and nerve-sparing-prostatectomy, demonstrating that concomitant surgery does not present disadvantages and that a successful nerve-sparing radical prostatectomy can still be performed under NeuroSAFE control.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case presentation<\/jats:title>\n            <jats:p>In this report, we describe a patient with prostate adenocarcinoma who had an incidental finding of left-sided CAKUT, including kidney aplasia, ureterocele, and bladder diverticulum. The patient underwent a simultaneous nerve-sparing radical prostatectomy, ureterectomy, and diverticulectomy.<\/jats:p>\n            <jats:p>After catheter removal on day 10 after surgery, the patient demonstrated adequate continence (6gr in 24\u00a0h pad test, 450\u00a0ml voiding volume, no residual urine). The pathological examination revealed a pT2c pN0 (0\/5) R0, GS 3\u2009+\u20094\u2009=\u20097a adenocarcinoma of the prostate.<\/jats:p>\n            <jats:p>The patient expressed high satisfaction with the surgery and its outcomes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>This case demonstrates for the first time that a combined approach to complex surgeries of both the upper and lower genitourinary tracts, addressing oncological considerations, can be performed safely without compromising early functional or early oncological outcomes.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s12894-025-01901-9","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T08:05:27Z","timestamp":1756800327000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Combined robot-assisted surgery of upper and lower genitourinary tract with excellent early functional and oncological outcome \u2013 a case report of a concomitant nerve-sparing radical prostatectomy, diverticulectomy and ureterectomy"],"prefix":"10.1186","volume":"25","author":[{"given":"Jan","family":"L\u00fcdecke","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirjam Naomi","family":"Mohr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Till Rasmus","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joost Wilhelm","family":"Vo\u00df","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arne","family":"Strau\u00df","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lutz","family":"Trojan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathias","family":"Reichert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,9,2]]},"reference":[{"key":"1901_CR1","unstructured":"Th\u00fcroff JW, Frohneberg D. 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