BJUI Compass, 2024 · DOI: 10.1002/bco2.449 · Published: December 21, 2024
This study evaluates the feasibility and safety of robot-assisted laparoscopic cutaneous continent urinary diversion (RALCCUD) in adults. The procedure creates a continent urinary diversion, allowing patients to self-catheterize through a stoma. This is particularly useful for those unable to catheterize through the urethra. The study focuses on patients with neurogenic lower urinary tract dysfunction (NLUTD) who have difficulty with intermittent self-catheterization (ISC). RALCCUD offers an alternative for bladder emptying and maintaining continence. Researchers assessed perioperative outcomes, continence, catheterization ability, and complications. The results indicate that RALCCUD is a viable option with a high continence rate and a low complication rate.
RALCCUD offers an alternative for patients with NLUTD who cannot perform urethral catheterization, potentially improving their quality of life and independence.
The study supports RALCCUD as a safe and effective surgical option with a high continence rate and low complication rate in appropriately selected patients.
The findings highlight the need for standardized techniques and training in RALCCUD to optimize outcomes and minimize operative time.