Skip to main content
SpringerLink
Log in

Robotic Surgery to Approach Bladder Disorders in Pediatric Patients

  • Chapter
  • First Online:
Robotic Urologic Surgery

  • 965 Accesses

Abstract

Pediatric urologists have adopted new techniques to provide minimally invasive surgical options for children. The robotic platform has been used in pediatric urology for well over a decade and is nearly standard of care for some procedures, such as pyeloplasty. Due to its more widespread usage, experienced robotic surgeons are now performing more complex procedures on the bladder, including the creation of catheterizable channels, providing minimally invasive options for ileocystoplasty and for bladder neck reconstruction (BNR).

The benefits of MIS (minimally invasive surgery), which include decreased pain, decreased length of stay in the hospital, and improved cosmesis, are balanced with the drawbacks of long learning curves, higher cost, and increased operative times. The robot-assisted laparoscopic approach is an excellent tool to perform complex bladder reconstruction. We truly believe that with continued evolution of instrumentation and technique, this will be a predominant way to perform complex bladder reconstruction in children.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 89.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Razmaria AA, Marchetti PE, Prasad SM, Shalhav AL, Gundeti MS. Does robot-assisted laparoscopic ileocystoplasty (RALI) reduce peritoneal adhesions compared with open surgery? BJU Int. 2014;113:468–75. https://doi.org/10.1111/bju.12284.

    Article  PubMed  Google Scholar 

  2. Meeks JJ, Hagerty JA, Lindgren BW. Pediatric robotic-assisted laparoscopic diverticulectomy. Urology. 2009;73:299–301. https://doi.org/10.1016/j.urology.2008.06.068.

    Article  PubMed  Google Scholar 

  3. Christman MS, Casale P. Robot-assisted bladder diverticulectomy in the Pediatric population. J Endourol. 2012;26:1296–300. https://doi.org/10.1089/end.2012.0051.

    Article  PubMed  Google Scholar 

  4. Noh PH, Bansal D. Pediatric robotic assisted laparoscopy for paraureteral bladder diverticulum excision with ureteral reimplantation. J Pediatr Urol. 2013;9:e28–30. https://doi.org/10.1016/j.jpurol.2012.06.011.

    Article  PubMed  Google Scholar 

  5. Koehne E, Desai S, Lindgren B. Robot-assisted laparoscopic diverticulectomy with ureteral reimplantation. J Pediatr Urol. 2020;16:508–9. https://doi.org/10.1016/j.jpurol.2020.06.009.

    Article  PubMed  Google Scholar 

  6. Hsu THS, Shortliffe LD. Laparoscopic Mitrofanoff appendicovesicostomy. Urology. 2004;64:802–4. https://doi.org/10.1016/j.urology.2004.04.059.

    Article  PubMed  Google Scholar 

  7. Berkowitz J, North AC, Tripp R, Gearhart JP, Lakshmanan Y. Mitrofanoff continent catheterizable conduits: top down or bottom up? J Pediatr Urol. 2009;5:122–5. https://doi.org/10.1016/j.jpurol.2008.11.003.

    Article  CAS  PubMed  Google Scholar 

  8. Nguyen HT, Passerotti CC, Penna FJ, Retik AB, Peters CA. Robotic assisted laparoscopic Mitrofanoff appendicovesicostomy: preliminary experience in a pediatric population. J Urol. 2009;182:1528–34. https://doi.org/10.1016/j.juro.2009.06.055.

    Article  PubMed  Google Scholar 

  9. Famakinwa O, Rosen A, Gundeti M. Robot-assisted laparoscopic Mitrofanoff Appendicovesicostomy technique and outcomes of extravesical and intravesical approaches. Eur Urol. 2013;64:831–6.

    Article  PubMed  Google Scholar 

  10. Wille MA, Zagaja GP, Shalhav AL, Gundeti MS. Continence outcomes in patients undergoing robotic assisted laparoscopic Mitrofanoff appendicovesicostomy. J Urol. 2011;185:1438–43. https://doi.org/10.1016/j.juro.2010.11.050.

    Article  PubMed  Google Scholar 

  11. Cohen AJ, Pariser JJ, Anderson BB, Pearce SM, Gundeti MS. The robotic appendicovesicostomy and bladder augmentation. Urol Clin N Am. 2015;42:121–30. https://doi.org/10.1016/j.ucl.2014.09.009.

    Article  Google Scholar 

  12. Galansky L, Andolfi C, Adamic B, Gundeti MS. Continent cutaneous Catheterizable channels in pediatric patients: a decade of experience with open and robotic approaches in a single center. Eur Urol. 2021;79:866–78. https://doi.org/10.1016/j.eururo.2020.08.013.

    Article  PubMed  Google Scholar 

  13. Gundeti MS, Eng MK, Reynolds WS, Zagaja GP. Pediatric robotic-assisted laparoscopic augmentation Ileocystoplasty and Mitrofanoff appendicovesicostomy: complete intracorporeal—initial case report. Urology. 2008;72:1144–7. https://doi.org/10.1016/j.urology.2008.06.070.

    Article  PubMed  Google Scholar 

  14. Murthy P, Cohn JA, Selig RB, Gundeti MS. Robot-assisted laparoscopic augmentation Ileocystoplasty and Mitrofanoff Appendicovesicostomy in children: updated interim results. Eur Urol. 2015;68:1069–75. https://doi.org/10.1016/j.eururo.2015.05.047.

    Article  PubMed  Google Scholar 

  15. Simeoni J, Guys JM, Mollard P, Buzelin JM, Moscovici J, Bondonny JM, et al. Artificial urinary sphincter implantation for neurogenic bladder: a multi-institutional study in 107 children. Br J Urol. 1996;78:287–93. https://doi.org/10.1046/j.1464-410X.1996.06126.x.

    Article  CAS  PubMed  Google Scholar 

  16. Catti M, Lortat-Jacob S, Morineau M, Lottmann H. Artificial urinary sphincter in children—voiding or emptying? An evaluation of functional results in 44 patients. J Urol. 2008;180:690–3. https://doi.org/10.1016/j.juro.2008.04.039.

    Article  CAS  PubMed  Google Scholar 

  17. Moscardi PRM, Ballesteros N, Abd-El-Barr A-E-R, Salvitti M, Castellan M. Robotic-assisted laparoscopic artificial urinary sphincter and MACE procedure on a pediatric patient. J Pediatr Urol. 2017;13:527–8. https://doi.org/10.1016/j.jpurol.2017.06.011.

    Article  PubMed  Google Scholar 

  18. Noordhoff TC, van den Hoek J, Yska MJ, Wolffenbuttel KP, Blok BFM, Scheepe JR. Long-term follow-up of bladder outlet procedures in children with neurogenic urinary incontinence. J Pediatr Urol. 2019;15(35):e1–35.e8. https://doi.org/10.1016/j.jpurol.2018.08.018.

    Article  Google Scholar 

  19. Cole EE, Adams MC, Brock JW, Pope JC. Outcome of continence procedures in the pediatric patient: a single institutional experience. J Urol. 2003;170:560–3. https://doi.org/10.1097/01.ju.0000078015.55801.52.

    Article  PubMed  Google Scholar 

  20. Bagli DJ, Khoury AE. Urethral lengthening with anterior Bladder Wall flap (Pippi salle procedure): modifications and extended indications of the technique. J Urol. 1997;158(2):585–90.

    Article  PubMed  Google Scholar 

  21. Grimsby GM, Jacobs MA, Menon V, Schlomer BJ, Gargollo PC. Perioperative and short-term outcomes of robotic vs open bladder neck procedures for neurogenic incontinence. J Urol. 2016;195:1088–92. https://doi.org/10.1016/j.juro.2015.11.043.

    Article  PubMed  Google Scholar 

  22. Gargollo PC. Robotic-assisted bladder neck repair. Urol Clin N Am. 2015;42:111–20. https://doi.org/10.1016/j.ucl.2014.09.013.

    Article  Google Scholar 

  23. Gargollo PC, White LA. Robotic-assisted bladder neck procedures for incontinence in pediatric patients. Front Pediatr. 2019;7:172. https://doi.org/10.3389/fped.2019.00172.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Gundeti MS, Petravick ME, Pariser JJ, Pearce SM, Anderson BB, Grimsby GM, et al. A multi-institutional study of perioperative and functional outcomes for pediatric robotic-assisted laparoscopic Mitrofanoff appendicovesicostomy. J Pediatr Urol. 2016;12(386):e1–386.e5. https://doi.org/10.1016/j.jpurol.2016.05.031.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Urology, Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    Dana A. Weiss, Arun K. Srinivasan & Aseem R. Shukla

Authors
  1. Dana A. Weiss
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Arun K. Srinivasan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Aseem R. Shukla
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Urology, Icahn School of Medicine at Mount Sinai, New York, USA

    Peter Wiklund

  2. Department of Urology, ORSI Academy, Aalst, Belgium

    Alexandre Mottrie

  3. Pediatric Urology, University of Chicago Medicine and Biological Sciences, Chicago, IL, USA

    Mohan S Gundeti

  4. Urology, Global Robotics Institute, Celebration, FL, USA

    Vipul Patel

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Weiss, D.A., Srinivasan, A.K., Shukla, A.R. (2022). Robotic Surgery to Approach Bladder Disorders in Pediatric Patients. In: Wiklund, P., Mottrie, A., Gundeti, M.S., Patel, V. (eds) Robotic Urologic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-00363-9_72

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-00363-9_72

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-00362-2

  • Online ISBN: 978-3-031-00363-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation