Current evidence of robotic-assisted surgery use in functional reconstructive and neuro-urology

The use of robot-assisted technology has been widely adopted in urological oncological surgery and its benefits have been well established. In recent years, robotic technology has also been used in several functional reconstructive and neuro-urology (FRNU) procedures. The aim of this review was to e...

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Main Authors: Hermione Tsoi, Sameh F. Elnasharty, Mehmet Gokhan Culha, Sabrina De Cillis, Cyrille Guillot-Tantay, François Hervé, Tanja Hüesch, Nicholas Raison, Véronique Phé, Nadir I. Osman
Format: Article
Language:English
Published: SAGE Publishing 2023-12-01
Series:Therapeutic Advances in Urology
Online Access:https://doi.org/10.1177/17562872231213727
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author Hermione Tsoi
Sameh F. Elnasharty
Mehmet Gokhan Culha
Sabrina De Cillis
Cyrille Guillot-Tantay
François Hervé
Tanja Hüesch
Nicholas Raison
Véronique Phé
Nadir I. Osman
author_facet Hermione Tsoi
Sameh F. Elnasharty
Mehmet Gokhan Culha
Sabrina De Cillis
Cyrille Guillot-Tantay
François Hervé
Tanja Hüesch
Nicholas Raison
Véronique Phé
Nadir I. Osman
author_sort Hermione Tsoi
collection DOAJ
description The use of robot-assisted technology has been widely adopted in urological oncological surgery and its benefits have been well established. In recent years, robotic technology has also been used in several functional reconstructive and neuro-urology (FRNU) procedures. The aim of this review was to evaluate the current evidence in the use of robotic technology in the field of FRNU. We performed a PubMed-based literature search between July and August 2022. The keywords we included were ‘robotic assisted’, ‘ureteric reimplantation’, ‘cystoplasty’, ‘ileal conduit’, ‘neobladder’, ‘sacrocolpopexy’, ‘colposuspension’, ‘artificial urinary sphincter’, ‘genitourinary fistula’ and ‘posterior urethral stenoses’. We identified the latest available evidence in the use of robotic technology in specific FRNU procedures such as the reconstruction of the ureters, bladder and urinary sphincter, urinary diversion, and repair of genitourinary prolapse and fistula. We found that there is a lack of prospective studies to assess the robotic-assisted approach in the field of FRNU. Despite this, the advantages that robotic technology can bring to the field of FRNU are evident, including better ergonomics and visual field, less blood loss and shorter hospital stays. There is therefore a need for further prospective studies with larger patient numbers and longer follow-up periods to establish the reproducibility of these results and the long-term efficacy of the procedures, as well as the impact on patient outcomes. Common index procedures and a standardized approach to these procedures should be identified to enhance training.
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spelling doaj.art-6b643fe51f9343de82f5d74043f66c732023-12-04T07:33:19ZengSAGE PublishingTherapeutic Advances in Urology1756-28802023-12-011510.1177/17562872231213727Current evidence of robotic-assisted surgery use in functional reconstructive and neuro-urologyHermione TsoiSameh F. ElnashartyMehmet Gokhan CulhaSabrina De CillisCyrille Guillot-TantayFrançois HervéTanja HüeschNicholas RaisonVéronique PhéNadir I. OsmanThe use of robot-assisted technology has been widely adopted in urological oncological surgery and its benefits have been well established. In recent years, robotic technology has also been used in several functional reconstructive and neuro-urology (FRNU) procedures. The aim of this review was to evaluate the current evidence in the use of robotic technology in the field of FRNU. We performed a PubMed-based literature search between July and August 2022. The keywords we included were ‘robotic assisted’, ‘ureteric reimplantation’, ‘cystoplasty’, ‘ileal conduit’, ‘neobladder’, ‘sacrocolpopexy’, ‘colposuspension’, ‘artificial urinary sphincter’, ‘genitourinary fistula’ and ‘posterior urethral stenoses’. We identified the latest available evidence in the use of robotic technology in specific FRNU procedures such as the reconstruction of the ureters, bladder and urinary sphincter, urinary diversion, and repair of genitourinary prolapse and fistula. We found that there is a lack of prospective studies to assess the robotic-assisted approach in the field of FRNU. Despite this, the advantages that robotic technology can bring to the field of FRNU are evident, including better ergonomics and visual field, less blood loss and shorter hospital stays. There is therefore a need for further prospective studies with larger patient numbers and longer follow-up periods to establish the reproducibility of these results and the long-term efficacy of the procedures, as well as the impact on patient outcomes. Common index procedures and a standardized approach to these procedures should be identified to enhance training.https://doi.org/10.1177/17562872231213727
spellingShingle Hermione Tsoi
Sameh F. Elnasharty
Mehmet Gokhan Culha
Sabrina De Cillis
Cyrille Guillot-Tantay
François Hervé
Tanja Hüesch
Nicholas Raison
Véronique Phé
Nadir I. Osman
Current evidence of robotic-assisted surgery use in functional reconstructive and neuro-urology
Therapeutic Advances in Urology
title Current evidence of robotic-assisted surgery use in functional reconstructive and neuro-urology
title_full Current evidence of robotic-assisted surgery use in functional reconstructive and neuro-urology
title_fullStr Current evidence of robotic-assisted surgery use in functional reconstructive and neuro-urology
title_full_unstemmed Current evidence of robotic-assisted surgery use in functional reconstructive and neuro-urology
title_short Current evidence of robotic-assisted surgery use in functional reconstructive and neuro-urology
title_sort current evidence of robotic assisted surgery use in functional reconstructive and neuro urology
url https://doi.org/10.1177/17562872231213727
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