Summarizing the evidence for robotic-assisted bladder neck reconstruction: Systematic review of patency and incontinence outcomes  

作　　者：Tenny R.Zhang Ashley Alford Lee C.Zhao 

机构地区：[1]Department of Urology,NewYork-Presbyterian Hospital/Weill Cornell Medicine,New York,NY,USA [2]Department of Urology,NYU Langone Medical Center,New York,NY,USA

出　　处：《Asian Journal of Urology》2024年第3期341-347,共7页亚洲泌尿外科杂志（英文）

摘　　要：Objective:Bladder neck contracture and vesicourethral anastomotic stenosis are difficult to manage endoscopically,and open repair is associated with high rates of incontinence.In recent years,there have been increasing reports of robotic-assisted bladder neck reconstruction in the literature.However,existing studies are small,heterogeneous case series.The objective of this study was to perform a systematic review of robotic-assisted bladder neck reconstruction to better evaluate patency and incontinence outcomes.Methods:We performed a systematic review of PubMed from first available date to May 2023 for all studies evaluating robotic-assisted reconstructive surgery of the bladder neck in adult men.Articles in non-English,author replies,editorials,pediatric-based studies,and reviews were excluded.Outcomes of interest were patency and incontinence rates,which were pooled when appropriate.Results:After identifying 158 articles on initial search,we included only ten studies that fit all aforementioned criteria for robotic-assisted bladder neck reconstruction.All were case series published from March 2018 to March 2022 ranging from six to 32 men,with the median follow-up of 5e23 months.A total of 119 patients were included in our analysis.A variety of etiologies and surgical techniques were described.Patency rates ranged from 50%to 100%,and pooled patency was 80%(95/119).De novo incontinence rates ranged from 0%to 33%,and pooled incontinence was 17%(8/47).Our findings were limited by small sample sizes,relatively short follow-ups,and heterogeneity between studies.

关 键 词：Bladder neck CONTINENCE INCONTINENCE PATENCY Posterior urethra Reconstructive surgery Robotic surgery STENOSIS STRICTURE Surgical outcome 

分 类 号：R699[医药卫生—泌尿科学]