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Radical cystectomy is the gold standard for nonmetastatic muscle invasive bladder cancer and for refractory nonmuscle invasive disease. Compared to open radical cystectomy, robot-assisted radical cystectomy has been shown to provide comparable early oncologic outcomes and improved perioperative outcomes. However, there is a paucity of data on long-term oncologic outcomes and concerns about a higher incidence of local recurrence after robot-assisted radical cystectomy. We report 10-year oncologic outcomes following robot-assisted radical cystectomy using a multinational database.We retrospectively reviewed the prospective International Robotic Cystectomy Consortium database. Consecutive patients who underwent robot-assisted radical cystectomy 10 years ago or earlier were included in analysis. Data were reviewed for demographics, and perioperative, pathological and oncologic outcomes. Kaplan-Meier curves were used to depict recurrence-free, disease specific and overall survival. Multivariate stepwise Cox regression models were applied to identify variables associated with recurrence-free, disease specific and overall survival.We identified 446 patients with a median age of 67 years (IQR 59-76). Of the patients 10% received neoadjuvant chemotherapy, 51% experienced any complication, 23% had high grade complications and 4% died within 3 months of robot-assisted radical cystectomy. Disease was pT3 or greater in 43% of patients and pN+ in 24% while a positive soft tissue surgical margin was observed in 7%. At a median followup of 5 years (IQR 2-10, maximum 14) local and distant recurrence had developed in 15% and 29% of patients, respectively. Ten-year recurrence-free, disease specific and overall survival rates were 59%, 65% and 35%, respectively. Patients with pT3 or greater and pN+ disease showed worse recurrence-free, disease specific and overall survival.Long-term oncologic outcomes, and recurrence rates and patterns after robot-assisted radical cystectomy seem comparable to those in open series. Advanced disease stage and positive surgical margins remain the main determinants of survival after radical cystectomy.

INTRODUCTION AND OBJECTIVE:Urinary complications remain a significant cause of morbidity following radical prostatectomy (RP). This study aims to identify patient, peri- and post-operative factors ...

INTRODUCTION AND OBJECTIVE:While photoselective vaporization of the prostate (PVP) has become one of the most common ambulatory procedures for BPH, its long-term durability compared to transurethra...

INTRODUCTION AND OBJECTIVE:The effect on patient outcomes with and without resident involvement in urological surgery remains controversial. This study aims to systematically determine the effect o...

INTRODUCTION AND OBJECTIVE:Traditional endoscopic equipment is expensive (i.e., >$40,000 for state-of-the-art camera, visual towers, and high-powered light source). This cost limits the practice of...

INTRODUCTION AND OBJECTIVE:American and European guidelines do not recommend routine double-J insertion after uncomplicated ureterorenoscopy, however clinical practice and guidelines deviate. The E...

INTRODUCTION AND OBJECTIVE:Frailty is a key aspect, related to-but distinct from-comorbidities and age. Partial nephrectomy (PN) use has increased during the last decades. However, PN is a complex ...

INTRODUCTION AND OBJECTIVE:Radiotherapy (RT) for prostate cancer is associated with a distinct constellation of treatment-related complications and morbidities. However, few studies have reported t...

INTRODUCTION AND OBJECTIVE:We have previously demonstrated improvements in cardiometabolic risk factors in hypogonadal men on long-term TTh.METHODS:Cumulative registry study to investigate long-ter...

INTRODUCTION AND OBJECTIVE:Men often elect prostate brachytherapy because it is thought to be superior to surgery in preserving erectile function (EF). However, there are no long-term prospective s...

INTRODUCTION AND OBJECTIVE:Partial nephrectomy (PN) is one of the established treatment for cT1 renal masses. With the rapid dissemination of robotic surgery in the past ten years, RAPN has become ...

INTRODUCTION AND OBJECTIVE:Recently, pentafecta criteria (PC) have been proposed by an international expert panel to objectively assess quality of care after open radical cystectomy (ORC) in bladde...

OBJECTIVE The aim of this study was to assess the quality of information available through the Internet for a variety of search terms for fecal incontinence (FI). METHODS Using the Google search engine, searches were performed for 4 terms: "bowel control problem," "accidental bowel leakage," "fecal incontinence," and "leaking stool." The DISCERN quality analysis tool and JAMA benchmark criteria were implemented by 2 independent reviewers to evaluate the first 20 search results for each term. To determine if 1 term provided higher-quality information, mean DISCERN and JAMA criteria scores as well as Web site category were compared using analysis of variance and Pearson χ tests. RESULTS Mean DISCERN scores for all terms fell in the middle range of possible scores. DISCERN questions addressing risks of treatment options, effects of treatment on quality of life, and gaps in knowledge/differences in expert opinion had the lowest scores across all search terms (range of scores, 1.1-1.7/5). JAMA criteria on authorship and attribution were most frequently missing on average in 48 of 80 and 42 of 80 Web sites, respectively. There were significant differences in mean DISCERN scores among the terms, with "fecal incontinence" yielding the highest mean score. The term "accidental bowel leakage" yielded the highest number of marketing Web sites, whereas "leaking stool" had the highest proportion of social Web sites. CONCLUSIONS The quality of available information about FI on the Internet is variable, and key components are often missing. The term "fecal incontinence" yielded the highest quality information of all search terms.

INTRODUCTION AND OBJECTIVE:Patients with secondary extrinsic malignant ureteral obstruction (EMUO) seek for durable, simple and low-cost solutions of drainage. We report on long-term outcomes with ...

INTRODUCTION AND OBJECTIVE:Predictors of long-term continuation of therapy with intradetrusor injections of onabotulinumtoxinA (BTX) for refractory overactive bladder (OAB) are not well defined. Th...

INTRODUCTION AND OBJECTIVE:In June 2018, the FDA approved the Intuitive single port (SP) robot for urologic procedures. In January 2019, Hackensack University Medical Center acquired this technolog...

INTRODUCTION AND OBJECTIVE:The available data on long term outcomes of surgically treated renal oncocytoma (RO) are scant and largely outdated. Herein we describe our institutional outcomes of surg...

INTRODUCTION AND OBJECTIVE:Two prospective randomized trials demonstrated equivalence of RARC with extracorporeal UD versus open radical cystectomy in terms of perioperative complication rate and m...

INTRODUCTION AND OBJECTIVE:Active surveillance (AS) is a widely accepted management strategy for low-risk prostate cancer (PC), but limited data exist regarding long-term outcomes after initial AS ...

INTRODUCTION AND OBJECTIVE:In the past two decades, over 2 million women have been implanted with transvaginal mesh in the United States for both stress urinary incontinence (SUI) and pelvic organ ...

INTRODUCTION AND OBJECTIVE:Presently active surveillance (AS) is the recommended management of small renal masses (SRM’s) in elderly patients with multiple co-morbidities, or for those who decline ...

INTRODUCTION AND OBJECTIVE:Active surveillance (AS) has become widely accepted as the standard of care for low-risk prostate cancer (PC) worldwide.. However limited work has examined the population...

INTRODUCTION AND OBJECTIVE:Salvage radiation therapy (SRT) represents a curative treatment option for patients with prostate-specific antigen (PSA) rise after radical prostatectomy (RP). However, a...

INTRODUCTION AND OBJECTIVE:Benefit finding (BF) refers to positive effects that may arise in the aftermath of a traumatic life event such as a cancer diagnosis. It involves disease-induced changes ...

INTRODUCTION AND OBJECTIVE:Men with biochemical recurrence (BCR) after radical prostatectomy (RP) have little information on long-term competing risks of mortality to inform prognosis and guide tre...