Robot-assisted extravesical ureteral reimplantation (revur) for unilateral vesico-ureteral reflux in children: results of a multicentric international survey

Esposito, Ciro; Masieri, Lorenzo; Steyaert, Henri; Escolino, Maria; Cerchione, Raffaele; Manna, Angela La; Cini, Chiara; Lendvay, Thomas S.

doi:10.1007/s00345-017-2155-9

Cited by 27 publications

(6 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Much of the published experience with the use of robot in pediatric urology is with pyeloplasty and upper tract procedures such as nephrectomy or heminephrectomy (3, 4, 14–17). Increasingly, the indications are expanding with reports on the use of robot for ureteric reimplantation (18–20).…”

Section: Discussionmentioning

confidence: 99%

Robotic Approach to Creation of Continent Catheterisable Channels—Technical Steps, Current Status, and Review of Outcomes

Subramaniam

2019

Front. Pediatr.

View full text Add to dashboard Cite

Purpose: To report the current status of Robotic approach to creation of Catheterisable channel (CC) with the author's personal experience compared to published literature on technical steps, follow up, and outcomes.Methods: CC data was extracted from the prospective database set up for all Robotic pediatric urology procedures performed by the author at his institution. A literature search was then performed to look at the evidence base.Results: Eighteen consecutive cases (8M:7F) of Robotic approach to creation of CC was identified and included. All attempted cases were successfully completed without any conversion to open approach. Median age at surgery was 10.75 years (IQR 6.9–16.5); Median OT 197 min (IQR 131–295) with concomitant procedures in 4 cases. Appendix was used in 14 cases as CC conduit and distal ureter in 4 cases. Median Length of stay (LOS) was 2.75 days (IQR 2–6) and Median FU 27.3 m. Whilst FU duration is comparable to published series, average OT and LOS was much lower in this series. The LOS in this robotic series is much lower than the author's experience with open approach (2.75 vs. 5.8 days). No major complications postoperatively except for one exit site wound infection managed conservatively. None of the CC have been revised in this series and all channels are patent with 12 F or 14 F admissible catheter size. There were no cases of incontinence related to technique of creation of CC and no incidence of exit site stomal stenosis with use of ACE stopper until channel matures and Clean intermittent catheterisation (CIC) is established.Conclusion: Robotic approach to CC is feasible, safe with excellent outcomes and minimum morbidity. Robotic complex bladder reconstructive surgery offers some advantages to children compared to open approach but is only currently performed in few tertiary centers with expertise.

show abstract

Section: Discussionmentioning

confidence: 99%

Robotic Approach to Creation of Continent Catheterisable Channels—Technical Steps, Current Status, and Review of Outcomes

Subramaniam

2019

Front. Pediatr.

View full text Add to dashboard Cite

show abstract

“…In the last 20 years, Lich‐Grégoire minimally invasive extravesical ureteric reimplantation has gained widespread acceptance as a means of minimizing the morbidity associated with formal open intravesical reimplantation, including lower frequencies of postoperative haematuria and bladder spasms and shorter hospital stay and bladder catheterization time compared to intravesical procedures . This technique has been performed using both a laparoscopic and a robot‐assisted approach, with reported success rates ranging from 77 to 100% .…”

Section: Discussionmentioning

confidence: 99%

“…haematuria and bladder spasms) and shorter hospitalization [3][4][5]. The extravesical ureteric reimplantation technique has been performed using both a laparoscopic and a robot-assisted approach, with reported success rates ranging from 77 to 100% [6][7][8][9]. Bladder dysfunction, including urinary retention, has been reported as a potential complication of extravesical ureteric reimplantation, especially in bilateral cases, caused by injury of the pelvic nerve plexus during ureteric dissection [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Postoperative bladder dysfunction and outcomes after minimally invasive extravesical ureteric reimplantation in children using a laparoscopic and a robot‐assisted approach: results of a multicentre international survey

et al. 2019

Self Cite

View full text Add to dashboard Cite

Objectives To assess and compare postoperative bladder dysfunction rates and outcomes after laparoscopic and robot‐assisted extravesical ureteric reimplantation in children and to identify risk factors associated with bladder dysfunction. Patients and Methods A total of 151 children underwent minimally invasive extravesical ureteric reimplantation in five international centres of paediatric urology over a 5‐year period (January 2013–January 2018). The children were divided in two groups according to surgical approach: group 1 underwent laporoscopic reimplantation and included 116 children (92 girls and 24 boys with a median age of 4.5 years), while group 2 underwent robot‐assisted reimplantation and included 35 children (29 girls and six boys with a median age of 7.5 years). The two groups were compared with regard to: procedure length; success rate; postoperative complication rate; and postoperative bladder dysfunction rate (acute urinary retention [AUR] and voiding dysfunction). Univariate and multivariate logistic regression analyses were performed to assess predictors of postoperative bladder dysfunction. Factors assessed included age, gender, laterality, duration of procedure, pre‐existing bladder and bowel dysfunction (BBD) and pain control. Results The mean operating time was significantly longer in group 2 compared with group 1, for both unilateral (159.5 vs 109.5 min) and bilateral procedures (202 vs 132 min; P = 0.001). The success rate was significantly higher in group 2 than in group 1 (100% vs 95.6%; P = 0.001). The overall postoperative bladder dysfunction rate was 8.6% and no significant difference was found between group 1 (6.9%) and group 2 (14.3%; P = 0.17). All AUR cases were managed with short‐term bladder catheterization except for two cases (1.3%) in group 1 that required short‐term suprapubic catheterization. Univariate and multivariate analyses showed that bilateral pathology, pre‐existing BBD and duration of procedure were predictors of postoperative bladder dysfunction (P = 0.001). Conclusion Our results confirmed that short‐term bladder dysfunction is a possible complication of extravesical ureteric reimplantation, with no significant difference between the laparoscopic and robot‐assisted approaches. Bladder dysfunction occurred more often after bilateral repairs, but required suprapubic catheterization in only 1.3% of cases. Bilaterality, pre‐existing BBD and duration of surgery were confirmed on univariate and multivariate analyses as predictors of postoperative bladder dysfunction in this series.

show abstract

“…With advancements in minimally invasive surgery in the recent years, laparoscopic and robotic-assisted ureteric reimplantations using the above techniques have been described, with results comparable to open procedures. [27][28][29][30]…”

Section: Recent Developmentsmentioning

confidence: 99%

Surgical management of vesicoureteral reflux in adults

Eli

Phan

Kujawa

2021

Journal of Clinical Urology

View full text Add to dashboard Cite

Vesicoureteral reflux (VUR) is the retrograde flow of urine from the bladder into the upper urinary tract with or without upper-tract dilatation. This diagnosis is commonly made in childhood, affecting 1% of all births. In adults, its prevalence and incidence are not known. Presentation in adults could be with loin pain associated with voiding or a full bladder, recurrent urinary tract infections, a diagnosis carried over from childhood or an incidental finding. Most of the works on VUR have been done in the paediatric population. There are limited publications addressing VUR in adults. Unsurprisingly, the management of VUR in adults is extrapolated from the knowledge that we have gained from paediatric urology. Herein, we recap on the pathophysiology and review the surgical management of VUR in adults as published over the years.

show abstract

Robot-assisted extravesical ureteral reimplantation (revur) for unilateral vesico-ureteral reflux in children: results of a multicentric international survey

Cited by 27 publications

References 38 publications

Robotic Approach to Creation of Continent Catheterisable Channels—Technical Steps, Current Status, and Review of Outcomes

Robotic Approach to Creation of Continent Catheterisable Channels—Technical Steps, Current Status, and Review of Outcomes

Postoperative bladder dysfunction and outcomes after minimally invasive extravesical ureteric reimplantation in children using a laparoscopic and a robot‐assisted approach: results of a multicentre international survey

Surgical management of vesicoureteral reflux in adults

Contact Info

Product

Resources

About