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ArticleWorld journal of urology2025

Reinforcing expectations after robot-assisted intracorporeal orthotopic neobladder: long-term functional, urodynamic and metabolic outcome.

Pia Kraft, Christoph Schregel, Fabian Obrecht, Beat Foerster, Gabriel Froelicher, Orlando Burkhardt, Katharina Boehler, Christian Padevit, Jure Tornic, Peter Wiklund and 1 more

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Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Pia Kraft *Department of Urology, Cantonal Hospital Winterthur, Winterthur, Switzerland.
Christoph Schregel *Department of Urology, Cantonal Hospital Winterthur, Winterthur, Switzerland.
Fabian ObrechtDepartment of Urology, Cantonal Hospital Winterthur, Winterthur, Switzerland.
Beat FoersterDepartment of Urology, Cantonal Hospital Winterthur, Winterthur, Switzerland.
Gabriel FroelicherDepartment of Urology, Cantonal Hospital Winterthur, Winterthur, Switzerland.
Orlando BurkhardtDepartment of Urology, Cantonal Hospital Winterthur, Winterthur, Switzerland.
Katharina BoehlerDepartment of Urology, Cantonal Hospital Winterthur, Winterthur, Switzerland.
Christian PadevitDepartment of Urology, Cantonal Hospital Winterthur, Winterthur, Switzerland.
Jure TornicDepartment of Urology, Cantonal Hospital Winterthur, Winterthur, Switzerland.
Peter WiklundDepartment of Urology, Karolinska Institute, Stockholm, Sweden.
Hubert JohnDepartment of Urology, Cantonal Hospital Winterthur, Winterthur, Switzerland. Hubert.John@ksw.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRobotic-assisted radical cystectomy (RARC) with complete intracorporeal orthotopic neobladder offers a less invasive reconstruction of continent urinary diversion to the open approach. The aim was to evaluate long-term functional, urodynamic, and metabolic outcomes after RARC with intracorporeal orthotopic neobladder.

methodsIn this retrospective study, 18 consecutive patients (16 men, median age 67 years) undergoing RARC for urothelial carcinoma with intracorporeal orthotopic neobladder between November 2015 and May 2021 were included. Video urodynamic evaluations assessed neobladder capacity, pressure at maximum filling, ureteral reflux and post-void residual volume. Continence was evaluated by questionnaires and pad count. Laboratory values were retrieved from the clinic information system. A subgroup of patients underwent both early and a late with video urodynamic studies were performed.

resultsMedian time between RARC with intracorporeal orthotopic neobladder reconstruction and late postoperative studies was 60 months. Urodynamic measurements showed a median maximum neobladder capacity of 485 mL (interquartile range (IQR), 433-625) and a maximum neobladder pressure of 20 cmH

conclusionsThis patient series reports comprehensive long term urodynamic, functional, and metabolic results five years after RARC with intracorporeal orthotopic neobladder reconstruction. In a subgroup analysis, neobladder function, renal function, and metabolic status remained stable between early and late postoperative assessments, which may indicate favorable long-term outcomes.

Indexed as

Carcinoma, Transitional CellCystectomyRobotic Surgical ProceduresUrinary Bladder NeoplasmsUrinary DiversionUrinary Reservoirs, ContinentUrodynamicsAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTime FactorsTreatment OutcomeIntracorporeal reconstructionLong-term outcomeOrthotopic neobladderRobotic-assisted radical cystectomyUrinary diversion

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.