Robotic‐Assisted Bladder Neck Surgery and Slings

Bladder neck sling cystourethropexy is a common procedure used to correct intrinsic sphincter deficiency in children with neurogenic bladders. Various modifications of the procedure have been made, but all involve circumferential dissection of the bladder neck and proximal urethra. The posterior dissection may be difficult and can result in injury to the rectum, urethra, and vagina. Using the principles of the posterior approach to the bladder neck as originally described by Lottman et al., one may perform a robotic-assisted laparoscopic placement of a bladder neck sling.