{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:33:55Z","timestamp":1786649635726,"version":"build-2736575974"},"reference-count":38,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Although robotic and open cystectomies have similar parastomal hernia (PSH) rates, the robotic approach offers perioperative advantages. PSH nevertheless remains a clinically and economically significant complication, and evidence on prophylactic mesh use in robot-assisted radical cystectomy (RARC) with ileal conduit (IC) formation is limited. This feasibility study reports short-term outcomes following mesh insertion, focusing on postoperative complications, including mesh-related infection and ileus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective, single-center, observational cohort study evaluates the use of prophylactic funnel mesh made of polyvinylidene fluoride (PVDF) during RARC with IC formation through a comprehensive assessment. This technique has been implemented routinely within our center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>From August 2023 to September 2024, 22 consecutive patients (41% of females) underwent RARC with IC formation. One robotic cystectomy was for a benign cause, whereas seven patients had bladder cancer stage T1, 11 \u2013 T2, 2 \u2013 T3, and 1 \u2013 T4. The average operating time was 310 \u00b1 61 min. Perioperatively, 23% of patients had a Clavien\u2013Dindo Class \u22642 ileus. After a median follow-up of 16 months, there was 1 (4.5%) clinical\/radiological instance of PSH (Clavien\u2013Dindo Class 3b) and 1 (4.5%) instance of mesh-related infection (Clavien\u2013Dindo Class 2).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Placement of PVDF funnel mesh during RARC with IC formation appears feasible and was associated with a low rate of mesh-related complications in this series. Although only one PSH occurred during short-term follow-up, these results should be interpreted cautiously, given the small sample size and limited duration. Longer-term evaluation is required to determine the true effectiveness of this approach in preventing PSH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/iju.iju_483_25","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T10:00:06Z","timestamp":1776247206000},"page":"200-206","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Early postoperative outcomes of intraperitoneal funnel mesh for parastomal hernia prevention in robotic radical cystectomy: A retrospective feasibility study"],"prefix":"10.4103","volume":"42","author":[{"given":"Sarah","family":"Shanmuganathan","sequence":"first","affiliation":[{"name":"Department of Urology, East Sussex Hospitals NHS Trust, Eastbourne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayas","family":"Rddah","sequence":"additional","affiliation":[{"name":"Department of Urology, East Sussex Hospitals NHS Trust, 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