Robotic-Assisted Excision of a Giant Presacral Mass Presenting as Urinary Retention

Although presacral masses are uncommon, surgical resection is advised if they are identified, particularly in symptomatic patients. Additionally, there is a chance that the tumour could be malignant. Numerous surgical techniques, such as posterior, anterior, and combined abdominosacral approaches, have been documented for the resection of presacral tumours. Laparoscopic or robotic methods for resecting presacral masses are becoming increasingly common with the advent of minimally invasive techniques. Here, we present a unique case of a large presacral mass presenting with urinary retention and constipation. The mass was excised with robotic assistance. It was removed successfully without any concomitant injury to urinary bladder or rectum. The patient’s urinary and bowel obstructive symptoms resolved immediately following surgery. Roboticassisted excision of a presacral mass offers advantages, including enhanced magnified vision and improved instrument articulation.