This is a retrospective, single-center, observational cohort study about RARC performed at a high-volume robotic institution. Patients aged more than 18 years with histologically proven diagnoses of bladder cancer were included; MIBC and high-risk NMIBC with indication to radical cystectomy according to the EAU Guidelines and signed informed consent to the procedure were the inclusion criteria.
All patients were previously counseled on the intervention and the type of urinary diversion of choice; female patients received gynecological counseling too, to discuss the opportunity of a sexually sparing procedure. Male patients were counseled on the likelihood of a nerve-sparing RARC when deemed oncologically feasible.
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