The Robotic Appendicovesicostomy and Bladder Augmentation

The use of robotic approaches has permeated the field of urology with continued advances in pediatric urology. Increasingly, more complex urologic procedures are being performed using a minimally invasive approach. The goal is to deliver at least equivalent long-term outcomes while minimizing the morbidity classically associated with open approaches. The robotic-assisted laparoscopic Mitrofanoff appendicovesicostomy with (RALIMA) or without (RALMA) ileocystoplasty represents the forefront of reconstructive pediatric urology. Select centers have demonstrated the safety and efficacy of these procedures. We review the indications, preoperative preparations, operative techniques, outcomes, current controversies, and future directions of RALMA and RALIMA.