{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T02:55:34Z","timestamp":1780368934252,"version":"3.54.1"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,1,25]],"date-time":"2023-01-25T00:00:00Z","timestamp":1674604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of this study was to assess midterm functional outcomes and complications of robot\u2010assisted laparoscopic cystectomy with non\u2010continent urinary diversion in patients with neurogenic lower urinary tract dysfunction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>We performed a retrospective single center study including all patients who underwent robot\u2010assisted laparoscopic cystectomy with non\u2010continent urinary diversion between January 2008 and December 2018 for neurogenic lower urinary tract dysfunction. Perioperative data, early and late complications, reoperation rate, renal function, and patient satisfaction (PGI\u2010I) were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and forty patients were included (70 multiple sclerosis, 37 spinal cord injuries, 33 others) with a median follow\u2010up of 29 months (12\u221249). The main indication for surgery was an inability to perform intermittent self\u2010catheterization (<jats:italic>n<\/jats:italic>\u2009=\u2009125, 89%). The early complication rate (&lt;30 days) was 41% (<jats:italic>n<\/jats:italic>\u2009=\u200958), including 72% (<jats:italic>n<\/jats:italic>\u2009=\u200945) minor complications (Clavien I\u2212II) and 29% (<jats:italic>n<\/jats:italic>\u2009=\u200917) major complications (Clavien III\u2212V). Three patients died in the early postoperative period. Late complications appear in 41% (<jats:italic>n<\/jats:italic>\u2009=\u200957), with 9% (<jats:italic>n<\/jats:italic>\u2009=\u200913) being ureteroileal anastomotic stricture. The overall reintervention rate was 19% (<jats:italic>n<\/jats:italic>\u2009=\u200927), mainly for lithiasis surgery. Pre\u2010 and postoperative renal function were comparable. Most of patients reported an improvement in their quality of life following their surgery (PGI\u2010I 1\u22122).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Robot\u2010assisted laparoscopic cystectomy with non\u2010continent urinary diversion may be of particular interest in patients with neurogenic lower urinary tract dysfunction who are unable to benefit from conservative treatment, as it provides midterm protection of the upper urinary tract and an improvement in quality of life.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25134","type":"journal-article","created":{"date-parts":[[2023,1,25]],"date-time":"2023-01-25T15:23:56Z","timestamp":1674660236000},"page":"586-596","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Robot\u2010assisted laparoscopic cystectomy with non\u2010continent urinary diversion for neurogenic lower urinary tract dysfunction: Midterm outcomes"],"prefix":"10.1002","volume":"42","author":[{"given":"Laura","family":"Cal\u00ebn","sequence":"first","affiliation":[{"name":"Department of Urology CHU Nantes, Nantes Universit\u00e9  Nantes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3314-1892","authenticated-orcid":false,"given":"Beno\u00eet","family":"Mesnard","sequence":"additional","affiliation":[{"name":"Department of Urology CHU Nantes, Nantes Universit\u00e9  Nantes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oussama","family":"Hedhli","sequence":"additional","affiliation":[{"name":"Department of Urology CHU Nantes, Nantes Universit\u00e9  Nantes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas","family":"Broudeur","sequence":"additional","affiliation":[{"name":"Department of Urology CHU Nantes, Nantes Universit\u00e9  Nantes 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