{"doi":"10.1111/bju.15825","title":"Uretero‐enteric stricture outcomes: secondary analysis of a randomised controlled trial comparing open versus robot‐assisted radical cystectomy","abstract":"OBJECTIVES: To analyse the risk of uretero-enteric anastomotic stricture in patients randomised to open (ORC) or robot-assisted radical cystectomy (RARC) with extracorporeal urinary diversion. PATIENTS AND METHODS: We included 118 patients randomised to RARC (n = 60) or ORC (n = 58) at a single, high-volume institution from March 2010 to April 2013. Urinary diversion was performed by experienced open surgeons. Stricture was defined as non-malignant obstruction on imaging, corroborated by clinical status, and requiring procedural intervention. The risk of stricture within 1 year was compared between groups using Fisher's exact test. RESULTS: In all, 58 and 60 patients were randomised to RARC and ORC, respectively. We identified five strictures, all in the ORC group. In patients with ≥1 year of follow-up, the increase in risk of stricture from open surgery was 9.3% (95% confidence interval 1.5%, 17%). Of the five strictures, three were managed endoscopically while two required open revision. There was no evidence that perioperative Grade 3-5 complications were associated with development of a stricture (P = 1) and no evidence of a difference in 24-month estimated glomerular filtration rate between arms (P = 0.15). CONCLUSIONS: In this study at a high-volume centre, RARC with extracorporeal urinary diversion achieved excellent ureteric anastomotic outcomes. Purported increased risk of stricture is not a reason to avoid RARC. Future research should examine the impact of different surgical techniques and operator experience on the risk of stricture, especially as more intracorporeal diversions are performed.","journal":"British Journal of Urology","year":2022,"id":275358,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":9,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9555,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":485721,"name":"Melissa Assel","orcid":null,"position":1,"is_corresponding":false},{"id":944477,"name":"Benjamin Beech","orcid":"0000-0002-3831-6946","position":2,"is_corresponding":false},{"id":348099,"name":"Nicole Benfante","orcid":"0000-0002-7704-1439","position":3,"is_corresponding":false},{"id":442370,"name":"Daniel D. Sjoberg","orcid":"0000-0003-0862-2018","position":4,"is_corresponding":false},{"id":944869,"name":"Adam Touijer","orcid":null,"position":5,"is_corresponding":false},{"id":90753,"name":"Jonathan Coleman","orcid":"0000-0002-6428-7835","position":6,"is_corresponding":false},{"id":457841,"name":"Guido Dalbagni","orcid":null,"position":7,"is_corresponding":false},{"id":457842,"name":"Harry W. Herr","orcid":null,"position":8,"is_corresponding":false},{"id":944870,"name":"Sherri Machele Donat","orcid":null,"position":9,"is_corresponding":false},{"id":50792,"name":"Vincent P. Laudone","orcid":"0000-0001-9263-9415","position":10,"is_corresponding":false},{"id":72212,"name":"Andrew J. Vickers","orcid":"0000-0003-1525-6503","position":11,"is_corresponding":false},{"id":90774,"name":"Bernard H. Bochner","orcid":"0000-0003-0846-0848","position":12,"is_corresponding":false},{"id":252231,"name":"Alvin C. Goh","orcid":"0000-0003-3092-9024","position":13,"is_corresponding":false},{"id":355925,"name":"Chun Huang","orcid":"0000-0003-1358-3121","position":0,"is_corresponding":true}],"reference_count":24,"raw_metadata":null,"created_at":"2026-07-19T00:28:16.928746Z","pmid":"35694836","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}