Pd21-01 Robotic Intracorporeal Orthotopic Neobladder: Comparison of Functional and Metabolic Results at Year 1 and 5

You have accessJournal of UrologyReconstruction: Augmentation, Substitution, Diversion (PD21)1 May 2024PD21-01 ROBOTIC INTRACORPOREAL ORTHOTOPIC NEOBLADDER: COMPARISON OF FUNCTIONAL AND METABOLIC RESULTS AT YEAR 1 AND 5 Pia Kraft, Fabian Obrecht, Christoph Schregel, Beat Foerster, Gabriel Froelicher, Katharina Boehler, Jure Tornic, Christian Padevit, and Hubert John Pia KraftPia Kraft , Fabian ObrechtFabian Obrecht , Christoph SchregelChristoph Schregel , Beat FoersterBeat Foerster , Gabriel FroelicherGabriel Froelicher , Katharina BoehlerKatharina Boehler , Jure TornicJure Tornic , Christian PadevitChristian Padevit , and Hubert JohnHubert John View All Author Informationhttps://doi.org/10.1097/01.JU.0001008888.07102.14.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Robotic-assisted radical cystectomy (RARC) with complete intracorporeal urinary ileal orthotopic neobladder is a promising continence-preserving therapy for muscle-invasive bladder cancer. The aim of this study was to compare functional and metabolic results at year 1 and 5 after RARC and urinary diversion with ileal orthotopic neobladder. METHODS: In this institutional review board-approved single center observational cohort study, consecutive patients undergoing RARC for urothelial carcinoma with an orthotopic modified Studer neobladder between November 2015 and February 2022 were included. Urodynamic evaluations served to assess neobladder capacity, pressure at maximum filling, uroflowmetry, and post-void residual volume at year 1 and 5. Continence was evaluated by pad count. Laboratory values were retrieved from clinic information system. RESULTS: Overall, 32 patients were included (65±9 years, 2 women, 30 men). Postoperative urodynamic examination was performed in 23 patients at 1 year and in 18 patients at 5 years. Nine patients obtained both urodynamic evaluations, whereas 5 patients died during follow up. Functional and metabolic results are presented in Table 1. CONCLUSIONS: This patient series shows stable functional and metabolic results at year 1 and 5 after robotic-assisted radical cystectomy and intracorporeal urinary reconstruction with a modified Studer neobladder, thus demonstrating satisfactory long-term outcomes of this demanding robotic approach. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e453 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Pia Kraft More articles by this author Fabian Obrecht More articles by this author Christoph Schregel More articles by this author Beat Foerster More articles by this author Gabriel Froelicher More articles by this author Katharina Boehler More articles by this author Jure Tornic More articles by this author Christian Padevit More articles by this author Hubert John More articles by this author Expand All Advertisement PDF downloadLoading ...