Orthotopic Neobladder Formation

  • Christian Andreas Bach
  • Anthony Koupparis


Robotic orthotopic neobladder formation is one of the most challenging procedures in urological surgery and to date performed only in a few specialized centres. In recent years, the principles of open bladder reconstruction have been successfully translated to robotic-assisted surgery. Several techniques of reservoir formation have been described, with most of them creating a low-pressure bladder using a cross folded segment of ileum.

With progress in surgical technique and experience, operating times are now routinely equivalent to open procedures in high-volume centres. Complication rates are comparable to open surgery and in carefully selected patients, robotic-assisted reconstruction has become extremely successful. The key aspects in preventing complications include patient selection, meticulous preparation of the procedure, careful positioning and adherence to sound surgical principles. Post-operative care following the guidelines of enhanced recovery and close follow-up are further pre-requisites of a successful programme.

This chapter will focus on patient selection and preparation, technical details of the procedure and post-operative care necessary to minimize complications after robotic orthotopic neobladder formation.


Orthotopic Neobladder Complications Robotic Intra-corporeal Cystectomyad Urinary diversion 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of UrologyUniversity Hospital AachenAachenGermany
  2. 2.Bristol Urological Institute, North Bristol NHS Trust, Southmead HospitalBristolUK

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