Intracorporeal neobladder.

Area of Science:

• Urology
• Surgical Oncology

Background:

• Robotic-assisted radical cystectomy (RARC) with intracorporeal diversion is increasingly utilized globally.
• Intracorporeal neobladder techniques are evolving, offering potential advantages in urinary diversion after cystectomy.

Purpose of the Study:

• To review the current landscape of intracorporeal neobladder techniques.
• To compare functional and perioperative outcomes of intracorporeal versus extracorporeal urinary diversion.

Main Methods:

• Review of existing literature on intracorporeal neobladder procedures.
• Comparison of outcomes from existing series and published studies on RARC with intracorporeal orthotopic diversion.

Main Results:

• RARC with totally intracorporeal neobladder demonstrates improved operative, postoperative, and functional outcomes in select cases.
• It presents a safe and feasible alternative to open radical cystectomy (ORC).

Conclusions:

• Intracorporeal neobladders show promising results.
• High-quality randomized controlled trials are necessary to compare intracorporeal urinary diversion (ICUD) with extracorporeal urinary diversion (ECUD) and define the role of ICUD in treating invasive bladder cancer.