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Urinary Tract Calculi VI: Surgical Management01:25

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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An Array of Factors Influence Robotics Adoption in Lower Urinary Tract Reconstruction.

Katerina Lembrikova1, George E Aninwene2, Peyton Tebon3

  • 1Department of Urology, Hackensack University Medical Center, Hackensack, NJ, USA.

Surgical Innovation
|March 26, 2026
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Summary
This summary is machine-generated.

Robotic adoption in lower urinary tract reconstruction (LUTR) is hindered by patient factors and the learning curve. Addressing these through training and device innovation can accelerate integration of robotic surgery in LUTR.

Keywords:
(MESH): roboticsbiomedical technologybladder neoplasminnovation diffusionurinaryurologic surgical procedure

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Area of Science:

  • Urology
  • Robotic Surgery
  • Health Services Research

Background:

  • Robotic surgery is widely adopted for prostatectomies but lags in lower urinary tract reconstruction (LUTR).
  • Understanding barriers and drivers is crucial for expanding robotic applications in complex reconstructive procedures.

Purpose of the Study:

  • To identify factors influencing the adoption of robotic technology in lower urinary tract reconstruction (LUTR) procedures.
  • To gather perspectives from diverse stakeholders including urologists, administrators, and patients.

Main Methods:

  • Qualitative interviews were conducted with 101 participants as part of the NSF I-Corps program.
  • A modified framework method was used for thematic analysis, categorizing factors as drivers or barriers to robotic adoption.

Main Results:

  • Key drivers for robotic adoption in LUTR include improved outcomes, hospital competition, and reduced complications.
  • Major barriers identified are patient comorbidities, the perceived learning curve for surgeons, and extended operative times.

Conclusions:

  • Beyond clinical outcomes, market dynamics, training needs, and procedural challenges significantly impact robotic LUTR adoption.
  • Strategies like enhanced training, device improvements, and optimized institutional support are needed to integrate robotics into LUTR.