Long‐term functional outcomes and complications of robot‐assisted laparoscopic supratrigonal cystectomy with augmentation cystoplasty in adult patients with neurogenic lower urinary tract dysfunction and interstitial cystitis/bladder pain syndrome: A single‐centre experience
Abstract Objectives To report the long‐term functional outcomes and complications of robot‐assisted laparoscopic supratrigonal cystectomy with augmentation cystoplasty (RA‐SC‐AC) in adult patients with neurogenic lower urinary tract dysfunction (NLUTD) or Interstitial Cystitis/Bladder Pain Syndrome...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2025-07-01
|
| Series: | BJUI Compass |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/bco2.70029 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Abstract Objectives To report the long‐term functional outcomes and complications of robot‐assisted laparoscopic supratrigonal cystectomy with augmentation cystoplasty (RA‐SC‐AC) in adult patients with neurogenic lower urinary tract dysfunction (NLUTD) or Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS). Materials and Methods We retrospectively analysed the records of adult patients who underwent RA‐SC‐AC at our institution between 2012 and 2020. Patients with NLUTD had refractory neurogenic detrusor overactivity or poor bladder compliance; patients with IC/BPS presented with severe pain and/or reduced bladder capacity (<400 ml). Our centre is a national referral institution for advanced BPS/IC. We recorded early and late complications, urodynamic parameters, pain scores, continence status and quality of life (Patient Global Impression of Improvement, PGI‐I). We also report how many patients eventually required self‐catheterization. Results Seventy‐one patients were included (41 NLUTD, 30 IC/BPS); the median follow‐up was 4.8 years ± 2.2. Overall, 36.7% experienced early (<30 days) complications, mostly minor (Clavien ≤2). Three major late complications occurred (one bladder perforation, two bowel obstructions). Among NLUTD patients, 90.2% achieved a low‐pressure reservoir, and the continence rate rose from 48.0% preoperatively to 92.7%. In IC/BPS, pain scores significantly decreased (7.8 ± 2.0 to 2.2 ± 0.4; p < 0.001) and maximum cystometric capacity increased (112 ± 39 ml to 304 ± 54 ml; p < 0.001). Four patients (13.3%) were surgical failures, persisting with severe symptoms. Eleven patients (36.7%) required de novo intermittent self‐catheterization. Overall, 73.0% reported improved quality of life at last follow‐up. Conclusions RA‐SC‐AC is feasible, with acceptable morbidity and long‐term functional benefits in both NLUTD and IC/BPS patients failing conservative treatments. Most patients experienced significantly improved bladder function and pain relief, as well as an enhanced quality of life. |
|---|---|
| ISSN: | 2688-4526 |