Robot-assisted continent urinary diversion according to the Mitrofanoff principle: results of a bicentric study

Lecoanet, Pierre; Pascal, Guillaume; Хаддад, Ал Саррай Ясир Али; Hubert, N.; Lemelle, Jean-Louis; Berte, Nicolas; Capon, G.

doi:10.1007/s00345-020-03361-2

Cited by 7 publications

(17 citation statements)

References 29 publications

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“…Recent literature also shows good results with a continence rate at conduit level between 58.40% and 100% [3 ▪ ,5 ▪ ,12 ▪ ,13 ▪▪ ,15 ▪ ,17 ▪▪ ,18 ▪ ].…”

Section: Short- and Long-term Surgical Outcomesmentioning

confidence: 78%

“…Also not all interventions are seen as revisions or reoperations. Injection of botulinum toxin type A and hyaluronic acid/dextranome are not labeled as revisions in the series of Lecoanet et al [12 ]. In recent literature, the majority of revisions are caused by stoma stenosis problems.…”

Section: Reoperation and Revision Ratesmentioning

confidence: 99%

“…Although the majority of the literature relates to open procedures, there is growing interest in conventional laparoscopic procedures and robot-assisted laparoscopic procedures. Nevertheless, there are very few data in the adult population and long-term outcomes are still awaited [3 ▪ ,10,12 ▪ ].…”

Section: Surgical Techniquementioning

confidence: 99%

“…Two patients had a Clavien 3 complication, requiring laparoscopic surgery, one for drainage of a deep abscess and the other for drainage of a postoperative hematoma. Three patients had a Clavien 2 complication: urosepsis, confusion and ileus [12 ▪ ].…”

Section: Short- and Long-term Surgical Outcomesmentioning

confidence: 99%

“…There remains a lack of consensus and a lack of adequate data on the optimal tissue to form the continent catheterizable channel [17 ▪▪ ]. In the reviewed studies, appendix and ileum are most commonly used [3 ▪ ,5 ▪ ,12 ▪ ,13 ▪▪ ,17 ▪▪ ,18 ▪ ], but the study of O’Connor really looks at differences between the various tissues used. The appendiceal channels had a lower rate of stomal incontinence.…”

Section: Type Of Tissue For Channel Formationmentioning

confidence: 99%

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The feasibility and efficacy of catheterizable stoma's in adults

Beels

Thiruchelvam

2021

Current Opinion in Urology

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Purpose of reviewA continent vesicostomy represents a useful alternative for adult patients with impaired bladder emptying who are unable to perform clean intermittent (self-) catheterization through the urethra. In a pediatric setting, there exists a vast experience in these procedures. But experience with continent catheterizable vesicostomies is less abundant in adult patients. We want to give an overview and discuss recent literature about catheterizable conduits in the adult population.Recent findingsAdult patients who undergo continent vesicostomy comprise a diverse cohort. Because of this very heterogeneous population, it can be difficult to make an objective analysis and draw conclusions on both the success rate and complication rate of these diversions. We will discuss short- and long-term surgical outcomes and changes in quality of life after the procedure in these patients.SummaryA continent vesicostomy is a valuable and durable reconstructive technique for adult patients with impaired bladder emptying. Surgery can be challenging and a better knowledge of complications can help with patient counseling. In the future we hope that minimally invasive surgery will decrease the morbidity of such surgery and hopefully also improve functional outcomes and diminish the complication rate.

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“…Recent literature also shows good results with a continence rate at conduit level between 58.40% and 100% [3 ▪ ,5 ▪ ,12 ▪ ,13 ▪▪ ,15 ▪ ,17 ▪▪ ,18 ▪ ].…”

Section: Short- and Long-term Surgical Outcomesmentioning

confidence: 78%

Section: Reoperation and Revision Ratesmentioning

confidence: 99%

Section: Surgical Techniquementioning

confidence: 99%

Section: Short- and Long-term Surgical Outcomesmentioning

confidence: 99%

Section: Type Of Tissue For Channel Formationmentioning

confidence: 99%

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The feasibility and efficacy of catheterizable stoma's in adults

Beels

Thiruchelvam

2021

Current Opinion in Urology

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Robot‐assisted laparoscopic continent cutaneous urinary diversion in adults: A single‐centre study

Loubersac,

Lavallée,

Reiss

et al. 2024

BJUI Compass

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ObjectivesTo show that robot‐assisted laparoscopic cutaneous continent urinary diversion (RALCCUD) is feasible and safe; however, data on clinical outcomes in adults are lacking.Materials and methodsWe conducted a retrospective study of all adults who underwent RALCCUD between 2017 and 2022 at a single tertiary reference centre.Patient characteristics, clinical information and perioperative outcomes were recorded. All patients underwent pre‐ and postoperative urodynamic evaluations.Functional outcomes were evaluated at 3 months, then yearly. Continence was defined as no stomal or urethral leakage.ResultsTwelve patients, mostly women (n = 11), median (IQR) age 47.4 (19–57) years underwent RALCCUD (four Mitrofanoff, four Yang‐Monti and four Casale). The main indication for surgery was inability to perform intermittent self‐catheterization through the native urethra.Eleven patients (92%) had neurogenic lower urinary tract disease caused by spinal cord injury or spinal dysraphism.Median (IQR) operative time was 313 (285–367) min. Four patients (33%) underwent concomitant procedures: three supratrigonal cystectomy (SC) with augmentation cystoplasty (AC) and one artificial urinary sphincter (AUS). No conversions to an open approach were required. Median (IQR) follow‐up was 51 (40–61) months. One early postoperative complication occurred (Clavien grade III). The late postoperative complication rate was 17%, with three complications occurring in three patients.At the last follow‐up, all patients could self‐catheterize through the tube, and the stomal and urethral continence rate was 100%.ConclusionRALCCUD is feasible and safe in adults, with a high rate of stomal and urethral continence and a low complication rate.

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Current Indications for Robotic Surgery in Pediatric Urology

FitzGibbon

Daugherty

2023

Curr Treat Options Peds

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Robot-assisted continent urinary diversion according to the Mitrofanoff principle: results of a bicentric study

Cited by 7 publications

References 29 publications

The feasibility and efficacy of catheterizable stoma's in adults

The feasibility and efficacy of catheterizable stoma's in adults

Robot‐assisted laparoscopic continent cutaneous urinary diversion in adults: A single‐centre study

Current Indications for Robotic Surgery in Pediatric Urology

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