{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T12:32:38Z","timestamp":1780403558908,"version":"3.54.1"},"reference-count":7,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,12,11]],"date-time":"2017-12-11T00:00:00Z","timestamp":1512950400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To describe our step\u2010by\u2010step technique for robotic intracorporeal neobladder configuration, including the stages of conception, development and exploration of this surgical innovation, according to the Idea, Development, Exploration, Assessment, Long\u2010term follow\u2010up (\n                      <jats:styled-content style=\"fixed-case\">IDEAL<\/jats:styled-content>\n                      ) Collaboration guidelines.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>\n                      The Florence robotic intracorporeal neobladder (Flo\n                      <jats:styled-content style=\"fixed-case\">RIN<\/jats:styled-content>\n                      ) was performed employing the following main surgical steps: isolation of 50 cm of ileum; bowel anastomosis; urethro\u2010ileal anastomosis creating an asymmetrical \u2018U\u2019\u2010shape (30 cm distally and 20 cm proximally to anastomosis), ileum detubularisation; posterior wall reconfiguration as an \u2018L\u2019; bladder neck reconstruction; anterior folding of the posterior plate to reach the 12 o'clock position; uretero\u2010enteral \u2018orthotopic\u2019 bilateral anastomosis. The conception and development of the Flo\n                      <jats:styled-content style=\"fixed-case\">RIN<\/jats:styled-content>\n                      followed the\n                      <jats:styled-content style=\"fixed-case\">IDEAL<\/jats:styled-content>\n                      guidelines recommended stages: Phase 1 (simulation) involved the neobladder robotic configuration using silicone models. Phase 2a (development) aimed to reproduce the configuration in an open fashion in one patient, and then in the first three robotic procedures. Phase 2b (exploration) consisted of the technique standardisation in 15 consecutive robotic approaches. Phase 2a and 2b included urodynamics and imaging assessment of the patients treated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      From February 2016 to September 2017 Flo\n                      <jats:styled-content style=\"fixed-case\">RIN<\/jats:styled-content>\n                      was performed in 18 patients. Comparing the first three (Phase 2a) with the subsequent 15 patients (Phase 2b), the median (interquartile range [\n                      <jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>\n                      ]) reconstruction operating time was 260 (220\u2013340) vs 160 (150\u2013210) min, respectively. Postoperative surgical complications occurred in four of the 18 patients (22.1%), including one surgical Clavien\u2013Dindo Grade\n                      <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>\n                      and three Grade I, postoperative medical Clavien\u2013Dindo Grade\n                      <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>\n                      complications occurred in three (16.7%) patients. On urodynamic examination (available in nine [50%] patients) the median (\n                      <jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>\n                      ) reservoir cystometric capacity, compliance, and post\u2010void residual were 240 (220\u2013267)\n                      <jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>\n                      , 18 (12.5\u201319.8)\n                      <jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>\n                      \/cmH\n                      <jats:sub>2<\/jats:sub>\n                      O, and 0 (0\u201350)\n                      <jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>\n                      , respectively. Ultrasonography showed no Grade \u22652 vesico\u2010ureteric reflux.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      We describe the Flo\n                      <jats:styled-content style=\"fixed-case\">RIN<\/jats:styled-content>\n                      configuration, showing its technical feasibility with acceptable time efficiency. The first cases studied had good reservoir capacity, low pressure with no reflux, and complete voiding.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.14077","type":"journal-article","created":{"date-parts":[[2017,11,15]],"date-time":"2017-11-15T10:48:41Z","timestamp":1510742921000},"page":"313-317","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Florence robotic intracorporeal neobladder (Flo\n                    <scp>RIN<\/scp>\n                    ): a new reconfiguration strategy developed following the\n                    <scp>IDEAL<\/scp>\n                    guidelines"],"prefix":"10.1111","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5140-4628","authenticated-orcid":false,"given":"Andrea","family":"Minervini","sequence":"first","affiliation":[{"name":"Department of Urology University of Florence Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"Vanacore","sequence":"additional","affiliation":[{"name":"Department of Urology University of Florence Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianni","family":"Vittori","sequence":"additional","affiliation":[{"name":"Department of Urology University of Florence Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Milanesi","sequence":"additional","affiliation":[{"name":"Department of Urology University of Florence Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agostino","family":"Tuccio","sequence":"additional","affiliation":[{"name":"Department of Urology University of Florence Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giampaolo","family":"Siena","sequence":"additional","affiliation":[{"name":"Department of Urology University of Florence Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Campi","sequence":"additional","affiliation":[{"name":"Department of Urology University of Florence Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Mari","sequence":"additional","affiliation":[{"name":"Department of Urology University of Florence Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Gavazzi","sequence":"additional","affiliation":[{"name":"Azienda Sanitaria di Firenze (ASF) Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Carini","sequence":"additional","affiliation":[{"name":"Department of Urology University of Florence Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,12,11]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13824"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13611"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)00709-3"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61083-7"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2015.0077"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2011.10307.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2015.10.171"}],"container-title":["BJU International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fbju.14077","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.14077","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T10:13:51Z","timestamp":1761732831000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1111\/bju.14077"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,11]]},"references-count":7,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1111\/bju.14077"],"URL":"https:\/\/doi.org\/10.1111\/bju.14077","archive":["Portico"],"relation":{},"ISSN":["1464-4096","1464-410X"],"issn-type":[{"value":"1464-4096","type":"print"},{"value":"1464-410X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,11]]},"assertion":[{"value":"2017-12-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}