Functional outcome of robotic-assisted intracorporeal versus extracorporeal neobladder following radical cystectomy: Initial experience

Autor: Altaf Khan, Jeevan Kumar Vuppalapati, Lavanya Raghu Sarath, M Mujeeburahiman, Nischith D'souza
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Urology Annals, Vol 13, Iss 1, Pp 9-13 (2021)
Druh dokumentu: article
ISSN: 0974-7796
0974-7834
DOI: 10.4103/UA.UA_132_19
Popis: Introduction: Worldwide, the seventh most commonly diagnosed cancer in the male population is Bladder cancer (BC), while it drops to eleventh when both genders are considered. Radical cystectomy is the surgical treatment of choice for patients with all muscle-invasive and some nonmuscle invasive BCs. An orthotopic continent diversion (neobladder) is preferred whenever possible to achieve a better postoperative quality of life. We attempt to study the functional outcomes of intracorporeal neobladder (ICNB) versus extracorporeal neobladder (ECNB) (ICNB vs. ECNB). Materials and Methods: Forty patients who underwent robot-assisted radical cystectomy with neobladder in our institute during the period of March 2016–March 2018 were included in the study. An orthotopic neobladder (Studer method) was created in all our patients. Our main outcomes of interest were peak flow rates, residual urine, attainment of continence, and Pdet at qmax of the neobladder. Results: The mean age of patients in our study group was 54 ± 6 years. The mean body mass index was 23 ± 2 kg/m2. The mean follow-up period was 24 ± 5 months. Twenty patients underwent ICNB and 20 patients underwent ECNB. The urodynamic assessment was done 1-year postprocedure. The same parameters applied to an intact bladder are used, and results analyzed by comparing it with other studies. Common in the initial postoperative period was incontinence which reduced substantially over time. After 1-year, 75% of patients did not require pads in the daytime, and a meager,
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