Indian Journal of Urology最新文献

{"title":"Split-thickness thigh skin grafts for extended urethroplasty: Retrospective assessment of surgical and functional outcomes.","authors":"Bruno Bucca, Greta Basile, Orietta Dalpiaz, Robin Zeder, Anna Magdalena Bernsteiner, Julia Pilhatsch, Thomas Alber, Miroslav Djordjevic, Christian Gozzi","doi":"10.4103/iju.iju_46_26","DOIUrl":"10.4103/iju.iju_46_26","url":null,"abstract":"<p><strong>Introduction: </strong>The objective of this study was to evaluate the feasibility and clinical outcomes of single-stage dorsal onlay urethroplasty using thigh-harvested split-thickness skin grafts (STSGs) for the treatment of panurethral strictures.</p><p><strong>Methods: </strong>Between July 2019 and November 2023, 17 patients with urethral strictures ≥8 cm underwent single-stage dorsal onlay STSG urethroplasty at a single center. Grafts were harvested using an electric dermatome. Follow-up included uroflowmetry at 1, 6, 12, 24, and 36 months, alongside 5-item International Index of Erectile Function (IIEF-5) and International Prostate Symptom Score quality of life questionnaires at 48 months.</p><p><strong>Results: </strong>The mean patient age was 55.6 years, and the median stricture length was 10 cm. Etiology was primarily iatrogenic (70.6%), followed by lichen sclerosus (23.5%) and infection (5.9%). Median operative time and hospital stay were 249 min (interquartile ranges [IQR]: 79) and 5 days (IQR: 2.5), respectively. The overall complication rate was 11.8%. Median Qmax remained stable over time: 22.3 mL/s at 1 month, 25 mL/s at 6 months, 22 mL/s at 12 months, and 19 mL/s at 48 months. At the 3-year assessment, the median post-void residual measured by bladder scan and confirmed with uroflowmetry was 30 mL (IQR: 30). At 48 months, median IIEF-5 was 23 (IQR: 12), indicated preserved erectile function. One recurrence occurred within 24 months, with five total recurrences by 48 months. Regarding patient satisfaction (Likert scale), 14 out of 17 patients reported being \"satisfied\" or \"very satisfied.\"</p><p><strong>Conclusions: </strong>Single-stage panurethroplasty with STSG is a feasible, effective, and durable surgical option for long-segment strictures. Larger studies are needed to validate these findings.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 3","pages":"232-238"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13374941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early postoperative outcomes of intraperitoneal funnel mesh for parastomal hernia prevention in robotic radical cystectomy: A retrospective feasibility study.","authors":"Sarah Shanmuganathan, Mayas Rddah, Danny Darlington Carbin, Nicola Milton, Gabriel Sullivan, Abdoulai Samateh, Peter Rimington, Edward Calleja","doi":"10.4103/iju.iju_483_25","DOIUrl":"10.4103/iju.iju_483_25","url":null,"abstract":"<p><strong>Introduction: </strong>Although robotic and open cystectomies have similar parastomal hernia (PSH) rates, the robotic approach offers perioperative advantages. PSH nevertheless remains a clinically and economically significant complication, and evidence on prophylactic mesh use in robot-assisted radical cystectomy (RARC) with ileal conduit (IC) formation is limited. This feasibility study reports short-term outcomes following mesh insertion, focusing on postoperative complications, including mesh-related infection and ileus.</p><p><strong>Methods: </strong>This retrospective, single-center, observational cohort study evaluates the use of prophylactic funnel mesh made of polyvinylidene fluoride (PVDF) during RARC with IC formation through a comprehensive assessment. This technique has been implemented routinely within our center.</p><p><strong>Results: </strong>From August 2023 to September 2024, 22 consecutive patients (41% of females) underwent RARC with IC formation. One robotic cystectomy was for a benign cause, whereas seven patients had bladder cancer stage T1, 11 - T2, 2 - T3, and 1 - T4. The average operating time was 310 ± 61 min. Perioperatively, 23% of patients had a Clavien-Dindo Class ≤2 ileus. After a median follow-up of 16 months, there was 1 (4.5%) clinical/radiological instance of PSH (Clavien-Dindo Class 3b) and 1 (4.5%) instance of mesh-related infection (Clavien-Dindo Class 2).</p><p><strong>Conclusions: </strong>Placement of PVDF funnel mesh during RARC with IC formation appears feasible and was associated with a low rate of mesh-related complications in this series. Although only one PSH occurred during short-term follow-up, these results should be interpreted cautiously, given the small sample size and limited duration. Longer-term evaluation is required to determine the true effectiveness of this approach in preventing PSH.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 3","pages":"200-206"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral ureteral reconstruction with U-shaped ileal interposition segment.","authors":"Federico Eskenazi, Juan Pablo Dugarte, Monish Aron","doi":"10.4103/iju.iju_158_26","DOIUrl":"10.4103/iju.iju_158_26","url":null,"abstract":"<p><p>We describe a robotic technique for bilateral ureteral reconstruction using a U-shaped ileal interposition in the setting of retroperitoneal fibrosis and vascular encasement. A 77-year-old man with chronic kidney disease, prior orchiectomy with retroperitoneal radiation for testicular cancer, radical prostatectomy, and spine surgery, presented with retroperitoneal fibrosis, bilateral mid-ureteral strictures, and nephrostomy dependence. After adhesiolysis, both ureters were identified at the pelvic brim, dissected off the great vessels, and proximally spatulated. A 25-cm ileal segment was isolated, configured in a U-shape, and anastomosed to the bladder dome at its apex. Each ureter was reimplanted mucosa-to-mucosa to a separate ileal limb over double-J stents, with additional single-J stents placed across the vesico-ileal anastomosis.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 3","pages":"246-247"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erectile dysfunction severity and penile Doppler findings in pelvic fracture urethral injury: A descriptive cohort study.","authors":"Pankaj Mangalkumar Joshi, Wattanachai Ratanapornsompong, Maria Antonia Ocampo, Jimena Navarro, Saket S Patwardhan, Gunter DeWin, Filip Thiessen, Dan Wood, Sanjay B Kulkarni","doi":"10.4103/iju.iju_557_25","DOIUrl":"10.4103/iju.iju_557_25","url":null,"abstract":"<p><strong>Introduction: </strong>Erectile dysfunction (ED) is a common and multifactorial complication after pelvic fracture urethral injury (PFUI), yet objective characterization of ED severity and penile Doppler findings remains limited. We aimed to describe ED severity categories and penile Doppler findings in men with PFUI undergoing anastomotic urethroplasty.</p><p><strong>Methods: </strong>We performed a retrospective analysis of a prospectively maintained database. Among 110 men who underwent anastomotic urethroplasty for PFUI between September 2022 and September 2023, 97 with complete preoperative penile Doppler ultrasound and standardized Sexual Health Inventory for Men assessment were included. Pelvic fractures were classified using the Young-Burgess system. All patients received tadalafil 5 mg daily for 6 months. Postoperative Doppler was not performed.</p><p><strong>Results: </strong>The median age was 29.5 years with a median follow-up of 11 months. Urethroplasty success rate was 85%(83/97). Preoperatively, 56 out of 97 patients had ED (42 mild/moderate; 14 severe). Penile Doppler abnormalities were nearly universal: 93 had cavernosal, and 83 had dorsal artery insufficiency. Postoperatively, 13 out of 41 men developed de novo ED, while 13 out of 56 improved by at least one severity category. Among 76 patients with complete fracture data, greater fracture severity was associated with worse postoperative ED, and worsening erectile function was more frequent among patients with urethroplasty failure.</p><p><strong>Conclusions: </strong>ED and penile Doppler abnormalities are highly prevalent after PFUI. ED severity correlated with pelvic injury severity, supporting the concept that ED reflects global trauma burden rather than isolated vascular pathology. Given the retrospective design and routine postoperative use of PDE5 inhibitors, these findings should be considered descriptive and hypothesis-generating.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 3","pages":"207-212"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is uroflow reproducible in healthy boys? A community-based observational study from Southern India.","authors":"T Anil Kumar, Selvin Theodore Jayanth Ezhilarasu, Partho Mukherjee, Sudhindra Jayasimha, Chandrasingh Jeyachandra","doi":"10.4103/iju.iju_572_25","DOIUrl":"10.4103/iju.iju_572_25","url":null,"abstract":"<p><strong>Introduction: </strong>This study evaluates the reproducibility of uroflowmetry in children aged 5-15 years to establish the age at which uroflowmetry is representative.</p><p><strong>Methods: </strong>Of 291 boys screened, uroflowmetry was done in 247 eligible boys. The flow was repeated at two weeks. A total of 227 children were included for analysis. Twenty were excluded due to a voided volume of less than 50ml and an interrupted flow pattern. The maximum flow rate (Qmax), average flow rate (Qavg), voided volume (VV), time to maximum flow, flow time and voiding time were recorded. The reproducibility of all parameters was assessed using the Inter-correlation coefficient (ICC) and correlation using Pearson's coefficient.</p><p><strong>Result: </strong>Qmax, Qavg showed excellent concordance in boys of 5-15 years [ICC >0.6], implying the flows were reproducible. VV showed excellent concordance in boys aged 8-15 years [ICC >0.6], but only moderate correlation in boys aged 5-7 years [ICC 0.4-0.6], probably due to the wide variation in voided volumes. Qmax and Qavg showed significant correlation in all age groups, with voided volume in first and second flow [Pearson's coefficient: 0.49 & 0.53 for Qmax1 and Qmax2; 0.48 & 0.51 Qavg1 and Qavg2 respectively], implying reproducibility of flow in this age group.</p><p><strong>Conclusion: </strong>Uroflowmetry is reproducible in children aged 5-15 years. Qmax and Qavg showed excellent reproducibility, and voided volume showed good reproducibility. Qmax shows excellent reproducibility even in the smallest of the age groups studied [5-7 years].</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 3","pages":"213-217"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of three-dimensional reconstruction in preoperative planning for partial nephrectomy: A prospective study.","authors":"Mounish Nuthalapati, N Mallikarjunarao Medam, Arun Ramdas Menon, Ginil Kumar Pooleri","doi":"10.4103/iju.iju_621_25","DOIUrl":"10.4103/iju.iju_621_25","url":null,"abstract":"<p><strong>Introduction: </strong>Two-dimensional (2D) imaging has traditionally guided surgical planning for partial nephrectomy (PN). However, it has limitations in depicting complex renal anatomy. Three-dimensional (3D) CT reconstructions may enhance spatial understanding, but evidence of their added value remains limited. This study evaluates the role of 3D reconstruction in preoperative planning.</p><p><strong>Materials and methods: </strong>This was a prospective, observational, single-center cohort study conducted between June 2021 and October 2023. Patients with cT1 renal masses planned for robotic PN willing for additional 3D reconstruction were enrolled. Preoperative predictions were made first with 2D computed tomography and then with combined 2D+3D reconstructions across seven parameters: Sinus dissection, selective clamping, margin status, warm ischemia (<30 min), pelvicalyceal system (PCS) entry, venous clamping, and vascular injury. Predictions were compared with intraoperative findings.</p><p><strong>Results: </strong>Fifty-four patients with cT1 renal masses were included in the study. The median age of the patients was 49 years, and most tumors were solitary (90.7%) and of moderate complexity (64.8%). Trifecta outcomes were achieved in 92.6%. Incorporating 3D reconstruction resulted in consistent descriptive improvements in predictive accuracy of 3.7%-9.2%, although statistical significance was not reached. McNemar's test demonstrated statistically significant discordance between 2D+3D-based prediction and intraoperative findings for warm ischemia time (11 patients), PCS entry (21 patients), and major vascular injury (7 patients). Nevertheless, predictive accuracy and Cohen's kappa values favored combined imaging.</p><p><strong>Conclusion: </strong>Integration of 3D reconstruction with 2D improved the accuracy of preoperative prediction of intraoperative events, thereby supporting more informed preoperative planning. Further studies with larger sample size are warranted to identify tumor complexity subsets that derive the greatest benefit and the impact on the learning curve of PN.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 3","pages":"218-224"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13374959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The immunotherapy paradox in high-risk non-muscle-invasive bladder cancer: A tale of three trials.","authors":"Shashank Agrawal, Atanu Kumar Pal, Satyadeo Sharma, Raman Tanwar, Gopal Sharma","doi":"10.4103/iju.iju_98_26","DOIUrl":"10.4103/iju.iju_98_26","url":null,"abstract":"","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 3","pages":"254-255"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13374815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The diagnostic value of biparametric magnetic resonance imaging vesical imaging-reporting and data system combined with tumor contact length for assessing muscle invasion in bladder cancer lesions scored vesical imaging-reporting and data system 3: A single-center retrospective analysis.","authors":"Wenbin Bao, Yangwenyi Liu, Jincui Yang, Xuebing Ma","doi":"10.4103/iju.iju_128_26","DOIUrl":"10.4103/iju.iju_128_26","url":null,"abstract":"<p><strong>Objective: </strong>To explore the diagnostic value of biparametric magnetic resonance imaging (bp-MRI) combined with tumor contact length (TCL) for identifying muscle-invasive bladder cancer (MIBC) among lesions scored 3 on the vesical imaging-reporting and data system (VI-RADS).</p><p><strong>Materials and methods: </strong>This single-center retrospective study enrolled patients with pathologically confirmed bladder urothelial carcinoma and a preoperative VI-RADS overall score of 3 (October 2022-October 2025). Two radiologists independently assessed biparametric VI-RADS score and TCL. Inter-observer agreement was evaluated. Based on the postoperative pathology, patients were divided into nonmuscle-invasive bladder cancer (NMIBC) and MIBC groups. Diagnostic performance of individual indicators and combined models (logistic regression and clinical rule) was assessed using receiver operating characteristic analysis. Bootstrap validation (1000 resamples) was performed.</p><p><strong>Results: </strong>One hundred and three patients (46 NMIBC, 57 MIBC) were included. Inter-observer agreement was excellent for biparametric VI-RADS (weighted Kappa = 0.82) and TCL (intraclass correlation coefficient = 0.91). TCL and biparametric score was significantly higher in the MIBC group (both <i>P</i> < 0.001). TCL alone (cutoff >2.5 cm) yielded an area under the curve (AUC) of 0.708; for the biparametric score alone (cutoff >3), AUC was 0.743. The combined logistic model (bp-MRI + TCL) achieved the highest AUC of 0.821 (optimism-corrected AUC of 0.798), sensitivity of 96.5%, and specificity of 65.2%. Proposed clinical rule (downgrade biparametric score 3-2 if TCL ≤2.5 cm) achieved an AUC of 0.814 (sensitivity 91.2% and specificity 69.6%). Multiparametric model (including dynamic contrast-enhanced) was not superior (AUC 0.810, <i>P</i> > 0.05).</p><p><strong>Conclusion: </strong>Integrating TCL with biparametric VI-RADS score improved the diagnostic accuracy for muscle invasion in VI-RADS 3 lesions. The simple clinical rule (TCL ≤2.5 cm downgrades the score to 2) showed promising efficacy and may assist in preliminary decision-making, pending external validation.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 3","pages":"225-231"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13374932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness and safety of polyacrylamide hydrogel injection for female stress urinary incontinence: A systematic review and single-arm meta-analysis.","authors":"Hendri Tanjaya, Amaditta Jericka, Mutiara Riani, Budi Darmawan, Edihan Mardjuki, Jennifer Uriah, Erik Noverdian Suryadi","doi":"10.4103/iju.iju_151_26","DOIUrl":"10.4103/iju.iju_151_26","url":null,"abstract":"<p><strong>Introduction: </strong>Polyacrylamide hydrogel (PAHG) injection is a minimally invasive treatment option for female stress incontinence, but reported effectiveness and durability vary across studies. This study aims to evaluate the effectiveness, safety, and retreatment rates of PAHG injection for female SUI through a systematic review and meta-analysis.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines and registered in PROSPERO (CRD420261328968). Literature was retrieved from electronic databases, such as PubMed, ProQuest, EuroPMC, and EBSCO, from database inception through February 2026. Cohort studies assessing PAHG injection for SUI were systematically reviewed. Random-effects models were used, heterogeneity was assessed with <i>I</i> ², and meta-regression examined age and follow-up as moderators. Publication bias was evaluated using funnel plots and Egger's test.</p><p><strong>Results: </strong>Thirteen studies, including 1797 patients, were analyzed. The pooled responder rate was 72% (95% confidence interval [CI] 64%-78%; <i>I</i> ² = 87%). A greater mean age was significantly associated with higher response rates (<i>P</i> = 0.04). Four studies reporting International Consultation on Incontinence Questionnaire outcomes demonstrated a pooled mean reduction of -6.65 points (95% CI: -8.52 to -4.78; <i>I</i> ² = 92.8%). The pooled repeat injection rate was 16% (95% CI: 10%-27%; <i>I</i> ² = 94%). Follow-up duration did not significantly influence retreatment rates (<i>P</i> = 0.85). No evidence of publication bias was detected for the primary outcome (<i>P</i> = 0.96).</p><p><strong>Conclusion: </strong>PAHG injection is a minimally invasive treatment associated with clinically meaningful symptom improvement and a favorable safety profile in women with SUI. However, given the single-arm design of the included studies and substantial heterogeneity, these findings should be interpreted with caution.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 3","pages":"190-199"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13374942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic intracorporeal ileal neobladder: Our modifications of the Karolinska Institute technique.","authors":"T K Aravind, Harshdeep Singh, Siddharth Yadav, Anup Kumar","doi":"10.4103/iju.iju_496_25","DOIUrl":"10.4103/iju.iju_496_25","url":null,"abstract":"<p><p>Robotic intracorporeal neobladder reconstruction aims to balance functional outcomes with reduced morbidity and improved cosmesis, but the inherent complexity of the procedure continues to challenge its routine adoption. We describe our modifications to the Karolinska intracorporeal ileal neobladder technique following radical cystectomy. A 52-year-old male with muscle-invasive high-grade urothelial carcinoma underwent robotic radical cystectomy with intracorporeal neobladder diversion. Operative time was 8 h with minimal blood loss and no intraoperative complications. Recovery was uneventful, with satisfactory early daytime continence achieved by 1 month. Our technique demonstrates promising feasibility, reduced complexity, and acceptable early functional outcomes, supporting its applicability for wider surgical adoption.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 2","pages":"170-171"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}