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Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models
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Robotic-assisted laparoscopic bladder augmentation in the pediatric patient
A C Wiestma1, C R Estrada1, P S Cho1
1Department of Urology, Boston Children's Hospital, Harvard Medical School, Boston, USA.
Journal of Pediatric Urology
|October 1, 2016
Summary
Robotic bladder augmentation offers a safe and feasible intracorporeal approach for pediatric patients with neuropathic bladder dysfunction. This minimally invasive technique can be fully completed within the body, even in younger children.
Area of Science:
- Urology
- Pediatric Surgery
- Minimally Invasive Surgery
Background:
- Neuropathic bladder dysfunction often requires surgical intervention, traditionally performed via open procedures.
- Robotic-assisted surgery presents a minimally invasive alternative for bladder augmentation.
- This case demonstrates an entirely intracorporeal robotic ileocystoplasty in a pediatric patient.
Observation:
- A 6-year-old boy with neurogenic bladder secondary to myelomeningocele underwent robotic augmentation cystoplasty.
- Preoperative urodynamics indicated a small, poorly compliant bladder with incontinence.
- The procedure aimed for an entirely intracorporeal approach.
Findings:
- Postoperative cystogram at one month showed no urine leak, allowing for suprapubic tube removal.
- Clean intermittent catheterization (CIC) intervals were adjusted based on urodynamic findings.
- The robotic procedure, including bowel segment preparation, was completed intracorporeally.
Implications:
- Robotic bladder augmentation is a safe and feasible option for select pediatric cases.
- The intracorporeal approach minimizes invasiveness, potentially leading to faster recovery.
- This technique may be applicable even in smaller pediatric patients, expanding treatment options.
