Robotic-assisted laparoscopic colposuspension for female stress urinary incontinence: a prospective series

Tan, Nataniel; Sri, Denosshan; Tsang, D; Nitkunan, Tharani; Anderson, Christopher J.; Qazi, Hasan; Issa, Rami; Walker, Roger; Seth, Jai

doi:10.1007/s11701-022-01409-6

Cited by 3 publications

(4 citation statements)

References 20 publications

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“…A small pilot study comparing robotic hysterectomy and robotic colposuspension with open hysterectomy and colposuspension demonstrated no difference in continence rates, however there were advantages when comparing blood loss and hospitalisation time 7 . Tan et al reported on 28 cases of robotic Burch Colposuspension with promising improvements in pad rates and quality of life scores 8 . As mesh free options become more popular there has been success in several small series using autologous fascia robotic sacral colpopexy.…”

Section: Application Of Ras In Reconstructive Urologymentioning

confidence: 99%

“… 7 Tan et al reported on 28 cases of robotic Burch Colposuspension with promising improvements in pad rates and quality of life scores. 8 As mesh free options become more popular there has been success in several small series using autologous fascia robotic sacral colpopexy. Bock et at showed similar short‐term anatomic outcomes to mesh for women with apical pelvic organ prolapse 9 and Scott et al reported no intra‐ or postoperative complications, and the median Patient Global Impression of Improvement (PGI‐I) response was 2 (range, 1–3, very much to a little better).…”

Section: Application Of Ras In Reconstructive Urologymentioning

confidence: 99%

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What credentials are required for robotic‐assisted surgery in reconstructive and functional urology?

Harley

Fong²,

Yao

et al. 2023

BJUI Compass

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IntroductionThe increasing popularity of robotic assisted surgery (RAS) as it is implemented in to sub specialities poses many challenges to ensuring standards in quality and safety. The area of Reconstructive and Functional Urology (RFU) has a wide range and largely complex heterogeneous procedures. In recent years RFU has started to incorporate RAS as the primary method to undertake these procedures due to improved vision, dexterity, and access to deep cavities. To ensure patient safety majority of institutions maintain minimal requirements to operate using RAS however across specialities and institutions these greatly vary.MethodsA narrative review of all the relevant papers known to the author was conducted.ResultsSpecific challenges facing RFU is the inability to rely on case numbers as a surrogate means to measure competency as well the ongoing consideration of how to differentiate between surgeons with robotic training and those with the clinical experience specific to RFU.ConclusionThis review explores current models of training and credentialling and assess how it can be adapted to suggest a standardised guideline for RFU to ensure the highest standards of patient care.

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Section: Application Of Ras In Reconstructive Urologymentioning

confidence: 99%

Section: Application Of Ras In Reconstructive Urologymentioning

confidence: 99%

What credentials are required for robotic‐assisted surgery in reconstructive and functional urology?

Harley

Fong²,

Yao

et al. 2023

BJUI Compass

View full text Add to dashboard Cite

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“…The study also demonstrated a significant improvement in the Urinary Incontinence Short Form Questionnaire scores post-operatively (from 18.1 to 9.4). 18 One pitfall that surgeons may encounter when performing robotic colposuspension is the lack of haptic sensation 19 during a procedure in which it is necessary to apply some tension at the level of the bladder neck. Placing the stitches too loose may not improve incontinence.…”

Section: Colposuspensionmentioning

confidence: 99%

“…The study also demonstrated a significant improvement in the Urinary Incontinence Short Form Questionnaire scores post-operatively (from 18.1 to 9.4). 18 …”

Section: Colposuspensionmentioning

confidence: 99%

Current evidence of robotic-assisted surgery use in functional reconstructive and neuro-urology

Tsoi,

Elnasharty,

Culha

et al. 2023

Therapeutic Advances in Urology

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The use of robot-assisted technology has been widely adopted in urological oncological surgery and its benefits have been well established. In recent years, robotic technology has also been used in several functional reconstructive and neuro-urology (FRNU) procedures. The aim of this review was to evaluate the current evidence in the use of robotic technology in the field of FRNU. We performed a PubMed-based literature search between July and August 2022. The keywords we included were ‘robotic assisted’, ‘ureteric reimplantation’, ‘cystoplasty’, ‘ileal conduit’, ‘neobladder’, ‘sacrocolpopexy’, ‘colposuspension’, ‘artificial urinary sphincter’, ‘genitourinary fistula’ and ‘posterior urethral stenoses’. We identified the latest available evidence in the use of robotic technology in specific FRNU procedures such as the reconstruction of the ureters, bladder and urinary sphincter, urinary diversion, and repair of genitourinary prolapse and fistula. We found that there is a lack of prospective studies to assess the robotic-assisted approach in the field of FRNU. Despite this, the advantages that robotic technology can bring to the field of FRNU are evident, including better ergonomics and visual field, less blood loss and shorter hospital stays. There is therefore a need for further prospective studies with larger patient numbers and longer follow-up periods to establish the reproducibility of these results and the long-term efficacy of the procedures, as well as the impact on patient outcomes. Common index procedures and a standardized approach to these procedures should be identified to enhance training.

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Laparoskopischer oder roboterassistierter Burch – Comeback einer (fast) vergessenen Operation

Huemer

Humburg²,

Roon³

2022

J. Urol. Urogynäkol. AT

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Robotic-assisted laparoscopic colposuspension for female stress urinary incontinence: a prospective series

Cited by 3 publications

References 20 publications

What credentials are required for robotic‐assisted surgery in reconstructive and functional urology?

What credentials are required for robotic‐assisted surgery in reconstructive and functional urology?

Current evidence of robotic-assisted surgery use in functional reconstructive and neuro-urology

Laparoskopischer oder roboterassistierter Burch – Comeback einer (fast) vergessenen Operation

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