V08-02 ROBOTIC AUGMENTATION CYSTOPLASTY: 1-YEAR OUTCOME OF THE ANTERIOR AND POSTERIOR APPROACHES

Abstract

You have accessJournal of UrologyCME1 Apr 2023V08-02 ROBOTIC AUGMENTATION CYSTOPLASTY: 1-YEAR OUTCOME OF THE ANTERIOR AND POSTERIOR APPROACHES Chi Hang Yee, Phoebe Cl Lam, Yuek Lam Hong, Pui Tak Lai, Yuk Him Tam, Timothy Chang Kidd Ng, Steffi Kar Kei Yuen, Mandy Ho Man Tam, Chi Kwok Chan, Ka Lun Lo, Jeremy Yuen Chun Teoh, Peter Ka Fung Chiu, and Chi Fai Ng Chi Hang YeeChi Hang Yee More articles by this author , Phoebe Cl LamPhoebe Cl Lam More articles by this author , Yuek Lam HongYuek Lam Hong More articles by this author , Pui Tak LaiPui Tak Lai More articles by this author , Yuk Him TamYuk Him Tam More articles by this author , Timothy Chang Kidd NgTimothy Chang Kidd Ng More articles by this author , Steffi Kar Kei YuenSteffi Kar Kei Yuen More articles by this author , Mandy Ho Man TamMandy Ho Man Tam More articles by this author , Chi Kwok ChanChi Kwok Chan More articles by this author , Ka Lun LoKa Lun Lo More articles by this author , Jeremy Yuen Chun TeohJeremy Yuen Chun Teoh More articles by this author , Peter Ka Fung ChiuPeter Ka Fung Chiu More articles by this author , and Chi Fai NgChi Fai Ng More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003306.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To investigate the outcome of robotic augmentation cystoplasty as the treatment of refractory cystitis due to ketamine abuse, and to compare the results of the anterior versus posterior surgical approaches. METHODS: This is a prospective series of patients with refractory lower urinary symptoms and a small contracted bladder due to ketamine-associated cystitis, who were indicated for augmentation cystoplasty. Robotic augmentation cystoplasty was performed with either the conventional anterior clamp cystoplasty approach, or the posterior U-flap M-configuration cystoplasty technique. Peri-operative data were collected and one-year outcome assessment was performed including functional bladder capacity (FBC) with urodynamic study, renal function and analgesic consumption. RESULTS: Between July 2011 and April 2021, 24 patients underwent robotic augmentation cystoplasty. Mean age was 32.0 ± 5.8 years. Additional procedures included 4 ureteric-reimplantations and 1 ileal interposition. Significant FBC improvement was observed 1 year after the operation (pre-operative 56.7 ± 36.2 ml, post-operative 328.5 ± 163.8, p<0.0001). FBC of anterior approach and posterior approach at 1 year was 312.5 ± 163.6 ml and 362.5 ± 161.4 ml respectively (p=0.276). Mean operative time was 272.0 ± 103.3 minutes. Analgesic requirement was decreased after the operation (pre-operative 19 patients, post-operative 4 patients; p<0.0001). Post-operative complications included 8 Clavien-Dindo grade 1 incidences and 1 Clavien-Dindo grade 3B incidence (small bowel obstruction requiring laparotomy and small bowel resection). CONCLUSIONS: Robotic augmentation ileo-cystoplasty can provide significant symptom relief for patients with a small contracted bladder. Both anterior and posterior approaches of robotic augmentation ileo-cystoplasty did not show any difference in the improvement in functional bladder capacity after the operation. Source of Funding: Nil © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e748 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Chi Hang Yee More articles by this author Phoebe Cl Lam More articles by this author Yuek Lam Hong More articles by this author Pui Tak Lai More articles by this author Yuk Him Tam More articles by this author Timothy Chang Kidd Ng More articles by this author Steffi Kar Kei Yuen More articles by this author Mandy Ho Man Tam More articles by this author Chi Kwok Chan More articles by this author Ka Lun Lo More articles by this author Jeremy Yuen Chun Teoh More articles by this author Peter Ka Fung Chiu More articles by this author Chi Fai Ng More articles by this author Expand All Advertisement PDF downloadLoading ...