Introduction: FloRIN reconfiguration technique was introduced in 2016 according to the IDEAL -Collaboration Guidelines, with the attempt to conjugate the advantages of both intracorporeal neo-bladder and robotic assistance. Herein we report functional outcomes of FloRIN reservoir, specifically focusing on urodynamic features.Materials and methods: Consecutive patients treated with RARC and FloRIN reconstruction were pro-spectively collected from February 2016 to June 2020. Only patients with a minimum 6-month follow up were analyzed to obtain a stable grade of neobladder maturation before performing the urodynamic study (UDS). The FACT-BL and the QLQ-C30 EORTC questionnaires were used to evaluate urinary function and health-related QoL. Results were compared with a contemporary series of patients treated at the same Institution with open radical cystectomy (ORC) and Vescica Ileale Padovana (VIP).Results: One hundred patients entered the study and 69 patients had complete functional data. Overall, 52 (75.4%) patients reached the daytime continence. Among these, 28 (40.6%) were dry (no pads during daytime), while 24 (34.8%) used one pad/12 h. Night-time continence was achieved by 45 (65.2%) pa-tients. Complete UDS findings were available for 28 patients. No statistically significant differences were found with the VIP-ORC group except for neobladder compliance, being higher in the FloRIN group (p = 0.03). When evaluating QoL scores, RARC with FloRIN reconfiguration showed a better continence recovery, as well as a higher improvement in urgency domain (p = 0.01), psychological status (0.02) and physical self-acceptance (p = 0.02), compared to the VIP-ORC group.Conclusions: The FloRIN technique showed excellent functional outcomes when compared to the referral VIP-ORC procedure.(c) 2022 Elsevier Ltd, BASO -The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

Robot assisted radical cystectomy with Florence Robotic Intracorporeal Neobladder (FloRIN): Functional and urodynamic features compared with a contemporary series of open Vescica Ileale Padovana (VIP) / Di Maida, Fabrizio; Grosso, Antonio Andrea; Tasso, Giovanni; Gemma, Luca; Lambertini, Luca; Nardoni, Samuele; Mari, Andrea; Tuccio, Agostino; Vittori, Gianni; Masieri, Lorenzo; Minervini, Andrea. - In: EUROPEAN JOURNAL OF SURGICAL ONCOLOGY. - ISSN 0748-7983. - ELETTRONICO. - 48:(2022), pp. 1854-1861. [10.1016/j.ejso.2022.04.007]

Robot assisted radical cystectomy with Florence Robotic Intracorporeal Neobladder (FloRIN): Functional and urodynamic features compared with a contemporary series of open Vescica Ileale Padovana (VIP)

Di Maida, Fabrizio;Grosso, Antonio Andrea;Tasso, Giovanni;Gemma, Luca;Lambertini, Luca;Nardoni, Samuele;Mari, Andrea;Tuccio, Agostino;Vittori, Gianni;Masieri, Lorenzo;Minervini, Andrea
2022

Abstract

Introduction: FloRIN reconfiguration technique was introduced in 2016 according to the IDEAL -Collaboration Guidelines, with the attempt to conjugate the advantages of both intracorporeal neo-bladder and robotic assistance. Herein we report functional outcomes of FloRIN reservoir, specifically focusing on urodynamic features.Materials and methods: Consecutive patients treated with RARC and FloRIN reconstruction were pro-spectively collected from February 2016 to June 2020. Only patients with a minimum 6-month follow up were analyzed to obtain a stable grade of neobladder maturation before performing the urodynamic study (UDS). The FACT-BL and the QLQ-C30 EORTC questionnaires were used to evaluate urinary function and health-related QoL. Results were compared with a contemporary series of patients treated at the same Institution with open radical cystectomy (ORC) and Vescica Ileale Padovana (VIP).Results: One hundred patients entered the study and 69 patients had complete functional data. Overall, 52 (75.4%) patients reached the daytime continence. Among these, 28 (40.6%) were dry (no pads during daytime), while 24 (34.8%) used one pad/12 h. Night-time continence was achieved by 45 (65.2%) pa-tients. Complete UDS findings were available for 28 patients. No statistically significant differences were found with the VIP-ORC group except for neobladder compliance, being higher in the FloRIN group (p = 0.03). When evaluating QoL scores, RARC with FloRIN reconfiguration showed a better continence recovery, as well as a higher improvement in urgency domain (p = 0.01), psychological status (0.02) and physical self-acceptance (p = 0.02), compared to the VIP-ORC group.Conclusions: The FloRIN technique showed excellent functional outcomes when compared to the referral VIP-ORC procedure.(c) 2022 Elsevier Ltd, BASO -The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.
48
1854
1861
Di Maida, Fabrizio; Grosso, Antonio Andrea; Tasso, Giovanni; Gemma, Luca; Lambertini, Luca; Nardoni, Samuele; Mari, Andrea; Tuccio, Agostino; Vittori, Gianni; Masieri, Lorenzo; Minervini, Andrea
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2158/1287619
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