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

The feasibility and efficacy of catheterizable stoma's in adults

“…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 ▪ ].…”

“…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.…”

“…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 ▪ ].…”

“…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 ▪ ].…”

“…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.…”