{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T11:39:15Z","timestamp":1785497955628,"version":"3.56.0"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T00:00:00Z","timestamp":1731974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Robot\u2010assisted (RA) surgery has many advantages for urinary tract and pelvic floor reconstruction (UTPFR) but its application is only slowly increasing. Studies are limited in number, patients and follow\u2010up duration. The low\u2010volume high\u2010complexity nature of UTPFR warrants specific research to evaluate the potential role of the RA approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>During its 2024 meeting in Bristol, the International Consultation on Incontinence\u2010Research Society (ICI\u2010RS) reviewed the current literature on RA UTPFR. Priority research questions and strategies were explored in a proposal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four different topics were discussed. (1) Large multicentre prospective studies on RA UTPFR are needed to evaluate clinical effectiveness and safety. The RA approach needs to be prioritized in specific procedures and patients, to first improve patient care where gains are highest. (2) Models for cost\u2010utility analysis for RA UTPFR are needed to (re)direct limited resources as efficiently as possible in a quickly changing technological field. (3) A modular curriculum for training UTPFR surgeons to become RA certified needs to be developed, to allow valid interpretation and comparison of outcomes. (4) Technological improvements to address tissue handling, accessibility, efficiency and sustainability are needed. Digitalization can be a gamechanger for RA UTPFR through telesurgery (training and expertize coverage), augmented reality and artificial intelligence providing intra\u2010operative assistance, assessment and feedback.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The proposal discussed the need for studies on clinical and cost effectiveness, safety, and training curriculum development for RA UTPFR. Recent technological developments hold great promise for RA UTPFR. High\u2010priority research questions were identified.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25625","type":"journal-article","created":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T08:26:28Z","timestamp":1732004788000},"page":"683-690","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["What Is Needed to Determine and Potentially Improve the Clinical Effectiveness and Cost\u2010Effectiveness of Robot\u2010Assisted Reconstructive Urinary Tract and Pelvic Floor Surgery?\u2014ICI\u2010RS 2024"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1757-2569","authenticated-orcid":false,"given":"Michel","family":"Wyndaele","sequence":"first","affiliation":[{"name":"Department of Urology, ERN eUROGEN Accredited Center University Medical Center Utrecht Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4679-0506","authenticated-orcid":false,"given":"Arun","family":"Sahai","sequence":"additional","affiliation":[{"name":"Department of Urology Guy's and St Thomas\u2019 NHS Foundation Trust, King's College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2644-1803","authenticated-orcid":false,"given":"George Bou","family":"Kheir","sequence":"additional","affiliation":[{"name":"Department of Urology ERN eUROGEN Accredited Center, Ghent University Hospital Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9079-251X","authenticated-orcid":false,"given":"Fran\u00e7ois","family":"Herv\u00e9","sequence":"additional","affiliation":[{"name":"Department of Urology ERN eUROGEN Accredited Center, Ghent University Hospital Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2374-848X","authenticated-orcid":false,"given":"D. 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