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Review
. 2020 Aug;38(8):1855-1864.
doi: 10.1007/s00345-019-02912-6. Epub 2019 Aug 30.

Robotic-assisted bladder neck procedures in children with neurogenic bladder

Patricio C Gargollo  1 , Lindsay A White  2
Affiliations
Review

Robotic-assisted bladder neck procedures in children with neurogenic bladder

Patricio C Gargollo et al. World J Urol. 2020 Aug.

Abstract

Purpose: To review the current status of robotic-assisted laparoscopic surgical techniques for bladder neck procedures in children with incontinence secondary to neurogenic bladder.

Methods: A comprehensive review of the literature on robotic-assisted bladder neck procedures was conducted, with a focus on articles published in the last 25 years. These data were subsequently compared to published series of open bladder neck procedures and published results from robotic-assisted bladder neck reconstruction series completed at our institution.

Results: The principle bladder neck procedures for incontinence in pediatric patients with neurogenic bladder include: Artificial Urinary Sphincter, Bladder Neck Sling, Bladder Neck Closure, and Bladder Neck Reconstruction. Continence rates range from 60 to 100% with a lack of expert consensus on the preferred procedure (or combination of procedures). Robotic-assisted approaches are associated with longer operative times, especially early in the surgical experience, but demonstrate equivalent continence rates with potential benefits including low interoperative blood loss, improved cosmesis, and decreased intra-abdominal adhesion formation.

Conclusions: Robotic-assisted procedures of the bladder neck are safe, feasible, follow the same steps and principles as those of open surgery and produce equivalent continence rates. Robotic-assisted techniques can be adapted to a variety of bladder neck procedures and safely expanded to selected patients with the previous open abdominal surgery.

Keywords: Artificial urinary sphincter; Bladder neck closure; Bladder neck reconstruction; Bladder neck sling; Neurogenic bladder; Robotic-assisted surgery.

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References

    1. Bauer SB, Labib KB, Dieppa RA, Retik AB (1977) Urodynamic evaluation of boy with myelodysplasia and incontinence stuart. Urology 10(4):354–362 - PubMed
    1. Lais A, Kasabian NG, Dyro FM et al (1993) Neurosurgical implications of continuous neuro-urological surveillance of children with myelodysplasia. J Urol 150:1879–1883 - PubMed
    1. Snodgrass WT, Elmore J, Adams R (2007) Bladder neck sling and appendicovesicostomy without augmentation for neurogenic incontinence in children. J Urol 177(4):1510–1515 - PubMed
    1. Abrams P (2002) The standardization of terminology of lower urinary tract function: report from the Standardization Sub-committee of the International Continence Society. Neurourol Urodyn 21(2):167–178 - PubMed
    1. Gargollo PC, Granberg C, Gong E, Tu D, Whittam B, Dajusta D (2018) Complex robotic lower urinary tract surgeries in patients with previous open surgery. J Urol. https://doi.org/10.1016/j.juro.2018.06.017 - DOI

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