PURPOSE: Complex urological reconstruction may be facilitated by the improved magnification and dexterity provided by a robotic approach. Minimally invasive surgery also has the potential advantages of decreased length of stay and improved convalescence. We reviewed perioperative and short-term outcomes between robot-assisted and open @entity1494 sling/repair with catheterizable channel in @entity1 with @entity1494 . MATERIALS AND METHODS: We performed an institutional review board approved retrospective chart review of all @entity1 who underwent open or robotic @entity1494 reconstruction without augmentation cystoplasty for refractory urinary @entity322 between 2010 and 2014. Age at surgery, operative time, length of stay, complications within 30 days of surgery and future continence procedures (injection of @entity1494 /catheterizable channel, additional @entity1494 surgery, botulinum toxin A injection) were compared between the groups. RESULTS: A total of 45 @entity1 underwent @entity1494 reconstruction (open in  26, robotic in 19) with a mean follow up of 2.8 years. There was no difference in preoperative urodynamics, age at surgery or length of stay (median 4 days in each group, p >0.9). Operative time was significantly longer in the robotic group (8.2 vs 4.5 hours, p <0.001). Three @entity1 (16%) undergoing robotic and 3 (12%) undergoing open surgery had a complication within 30 days (p >0.9). Of @entity1 undergoing open repair 14 (56%) underwent 23 subsequent surgeries for @entity322 . By comparison, 8 @entity1 undergoing robotic repair (42%) underwent 12 additional procedures (p = 0.5). CONCLUSIONS: Although a robotic approach may take longer to perform, it does not result in increased complications or length of stay, or worsened continence outcomes.

Perioperative and Short-Term Outcomes of Robotic vs Open Bladder Neck Procedures for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity322 :: ('MESH:D014549', 'Disease') :: ['incontinence'] @entity1494 :: ('MESH:D001745', 'Disease') :: ['neurogenic bladder', 'bladder neck']
@entity322 :: (MESH:D014549,Disease) :: ['Neurogenic Incontinence']
