For adults with neurogenic decrease urinary tract dysfunction (NLUTD) or interstitial cystitis/bladder ache syndrome (IC/BPS), robot-assisted laparoscopic supratrigonal cystectomy with augmentation cystoplasty (RA-SC-AC) is possible, based on a examine printed within the July difficulty of BJUI Compass.
Thomas Batard, from Nantes Université in France, and colleagues carried out a retrospective evaluation of the data of adults who underwent RA-SC-AC between 2012 and 2020 to report long-term practical outcomes and problems. Seventy-one sufferers have been included: 41 with NLUTD and 30 with IC/BPS; sufferers have been adopted for a median of 4.8 ± 2.2 years.
The researchers discovered that 36.7% of sufferers skilled early (problems: one bladder perforation and two bowel obstructions. Total, 90.2% of the NLUTD sufferers achieved a low-pressure reservoir, and there was a rise famous within the continence fee, from 48.0% preoperatively to 92.7%. Ache scores decreased considerably in IC/BPS (7.8 ± 2.0 to 2.2 ± 0.4), and there was a rise seen in most cystometric capability (112 ± 39 mL to 304 ± 54 mL). Surgical failures occurred in 4 sufferers (13.3%), whose extreme signs continued. De novo intermittent catheterization was required by 11 sufferers (36.7%).
“In our series, it resulted in durable improvements in bladder capacity, pain control and continence, with acceptable complication rates,” the authors write. “Future controlled or randomized studies should focus on delineating specific advantages of the robotic approach and further refining patient selection criteria, especially in complex referral-based populations.”
Two authors disclosed ties to Intuitive Surgical.
Extra info:
Thomas Batard et al, Lengthy‐time period practical outcomes and problems of robotic‐assisted laparoscopic supratrigonal cystectomy with augmentation cystoplasty in grownup sufferers with neurogenic decrease urinary tract dysfunction and interstitial cystitis/bladder ache syndrome: A single‐centre expertise, BJUI Compass (2025). DOI: 10.1002/bco2.70029
Quotation:
Robotic cystectomy method possible for NLUTD and interstitial cystitis/bladder ache (2025, July 21)
retrieved 21 July 2025
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