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  4. Robot-assisted laparoscopic continent cutaneous urinary diversion in adults: A single-centre study

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

BJUI Compass, 2024 · DOI: 10.1002/bco2.449 · Published: December 21, 2024

UrologyAssistive Technology

Simple Explanation

This study evaluates the feasibility and safety of robot-assisted laparoscopic cutaneous continent urinary diversion (RALCCUD) in adults. The procedure creates a continent urinary diversion, allowing patients to self-catheterize through a stoma. This is particularly useful for those unable to catheterize through the urethra. The study focuses on patients with neurogenic lower urinary tract dysfunction (NLUTD) who have difficulty with intermittent self-catheterization (ISC). RALCCUD offers an alternative for bladder emptying and maintaining continence. Researchers assessed perioperative outcomes, continence, catheterization ability, and complications. The results indicate that RALCCUD is a viable option with a high continence rate and a low complication rate.

Study Duration
2017 to 2022
Participants
12 adults
Evidence Level
Retrospective, case-series study

Key Findings

  • 1
    RALCCUD is feasible and safe in adults, with a high rate of stomal and urethral continence.
  • 2
    All patients could self-catheterize through the created tube at the last follow-up.
  • 3
    The study reported a low complication rate associated with the procedure.

Research Summary

This retrospective, single-center study evaluated the efficacy of robot-assisted laparoscopic cutaneous continent urinary diversion (RALCCUD) in 12 adults with neurogenic lower urinary tract dysfunction (NLUTD). The study found that RALCCUD is a feasible and safe option, with a high rate of stomal and urethral continence and a low complication rate. All patients were able to self-catheterize through the tube at the last follow-up. The authors conclude that RALCCUD is a valuable option for adults with NLUTD who cannot self-catheterize through the urethra and suggest that multicenter, prospective studies are needed to confirm these results.

Practical Implications

Improved Quality of Life

RALCCUD offers an alternative for patients with NLUTD who cannot perform urethral catheterization, potentially improving their quality of life and independence.

Safe and Effective Surgical Technique

The study supports RALCCUD as a safe and effective surgical option with a high continence rate and low complication rate in appropriately selected patients.

Standardization and Training

The findings highlight the need for standardized techniques and training in RALCCUD to optimize outcomes and minimize operative time.

Study Limitations

  • 1
    Retrospective study design
  • 2
    Single centre study
  • 3
    Limited sample size

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