Mr. ABC, a 48years old smoker with complaints of blood in urine was investigated and found to have a tumour in his bladder. At his home town, as the tumor was very big, he was advised removal of his bladder surgically by oprn technique which would have also resulted in decreasing his sexual function and a permanent urinary opening (stoma) on his abdomen with urine collecting bag. The patient was devastated with the idea of losing potency at such a young age. When he came to us we evaluated him and he underwent surgery in a minimally invasive way using the robot in the form of robotic radical cystectomy and reconstructing entire new bladder with intestine.. The patient did recover well after the surgery and recovered his potency in 3 months to lead an active family life. He passes urine in a normal way and has no opening on his abdomen and his body image is preserved. He is extremely happy now.
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