{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T04:57:04Z","timestamp":1790571424134,"version":"4.1.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Objective:<\/jats:title>\n                    <jats:p>The Hood technique, originally developed for robot-assisted prostatectomy, preserves periurethral and periprostatic structures critical for early continence recovery. Radical cystoprostatectomy requires wider pelvic dissection, bladder pedicle control, lymphadenectomy, and intraoperative urethral margin assessment, necessitating modification of the Hood approach. We adapted this continence-preserving dissection to robot-assisted radical cystoprostatectomy (RARC) with intracorporeal neobladder reconstruction. This study describes the technique and reports early feasibility, functional, and oncologic outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>We retrospectively reviewed 40 male patients who underwent RARC with intracorporeal neobladder reconstruction using the Hood technique between 2019 and 2023. Continence was defined as using 0\u20131 pad\/day or complete dryness with clean intermittent catheterization. Pad count, rather than pad weight testing, was used. Daytime and nighttime continence were assessed at standardized postoperative intervals, and time to continence was estimated using Kaplan\u2013Meier analysis. Perioperative outcomes, complications, and oncologic outcomes were analyzed descriptively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The median operative time was 335 minutes, estimated blood loss was 400 mL, and the length of hospital stay was 4 days. Major complications occurred in 7.5% of patients at 30 days and 10% at 90 days. Kaplan\u2013Meier estimates for daytime continence were 36% at 6 weeks, 71% at 3 months, 92% at 6 months, and 92% at \u226512 months; corresponding nighttime continence estimates were 11%, 32%, 42%, and 62%. All surgical margins for urothelial carcinoma were negative. Limitations include the retrospective, single-center design, modest sample size, lack of a comparison group, and use of nonvalidated continence measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The Hood technique for RARC with intracorporeal neobladder reconstruction is technically feasible and associated with encouraging early continence recovery without evident short-term adverse oncologic outcomes, supporting further comparative evaluation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08927790261472741","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T06:40:51Z","timestamp":1785825651000},"page":"1156-1163","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Hood Technique for Robot-Assisted Radical Cystoprostatectomy with Intracorporeal Neobladder"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6879-6058","authenticated-orcid":false,"given":"Ahmed","family":"Eraky","sequence":"first","affiliation":[{"name":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza","family":"Mehrazin","sequence":"additional","affiliation":[{"name":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neeraja","family":"Tillu","sequence":"additional","affiliation":[{"name":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinayak G.","family":"Wagaskar","sequence":"additional","affiliation":[{"name":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reuben","family":"Ben-David","sequence":"additional","affiliation":[{"name":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Almoflihi","sequence":"additional","affiliation":[{"name":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swati","family":"Bhardwaj","sequence":"additional","affiliation":[{"name":"Department of Pathology, Icahn School of Medicine at Mount Sinai, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alae","family":"Kawam","sequence":"additional","affiliation":[{"name":"Department of Pathology, Icahn School of Medicine at Mount Sinai, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Sfakianos","sequence":"additional","affiliation":[{"name":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashutosh K.","family":"Tewari","sequence":"additional","affiliation":[{"name":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Wiklund","sequence":"additional","affiliation":[{"name":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"e_1_3_5_2_1","unstructured":"1.Witjes JA Bruins HM Carri\u00f3n A Cathomas R Comp\u00e9rat EM Efstathiou JA et al. EAU Guidelines on muscle-invasive and metastatic bladder cancer. 2024."},{"key":"e_1_3_5_3_1","unstructured":"2.Gontero P Birtle A Comp\u00e9rat E et al. EAU guidelines on non-muscle-invasive bladder cancer (TaT1 and CIS). EAU Annual Congress Paris 2024. Available from: https:\/\/uroweb.org\/guidelines\/non-muscle-invasive-bladder-cancer\/chapter\/citation-information"},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000003846"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.7393"},{"key":"e_1_3_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2023.11.017"},{"key":"e_1_3_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2024.01.018"},{"key":"e_1_3_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2012.08.050"},{"key":"e_1_3_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2023.04.009"},{"key":"e_1_3_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2016.08.004"},{"key":"e_1_3_5_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-025-05821-z"},{"key":"e_1_3_5_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/bco2.189"},{"key":"e_1_3_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2017.12.005"},{"key":"e_1_3_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2020.09.044"},{"key":"e_1_3_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2016.01.026"},{"key":"e_1_3_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2017.08.018"},{"key":"e_1_3_5_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000003981"},{"key":"e_1_3_5_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.02.021"},{"key":"e_1_3_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urolonc.2016.06.014"},{"key":"e_1_3_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.03.037"},{"key":"e_1_3_5_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.03.134"},{"key":"e_1_3_5_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2013.05.034"},{"key":"e_1_3_5_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61116-8"},{"key":"e_1_3_5_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10115"},{"key":"e_1_3_5_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004180"},{"key":"e_1_3_5_26_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2022.0248"},{"key":"e_1_3_5_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2016.05.093"},{"key":"e_1_3_5_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.05.050"},{"key":"e_1_3_5_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2007.08.023"},{"key":"e_1_3_5_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2016.08.088"},{"key":"e_1_3_5_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14676"}],"container-title":["Journal of Endourology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08927790261472741","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08927790261472741","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08927790261472741","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T04:45:30Z","timestamp":1790570730000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08927790261472741"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,3]]},"references-count":30,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10,1]]}},"alternative-id":["10.1177\/08927790261472741"],"URL":"https:\/\/doi.org\/10.1177\/08927790261472741","relation":{},"ISSN":["0892-7790","1557-900X"],"issn-type":[{"value":"0892-7790","type":"print"},{"value":"1557-900X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,3]]}}}