Detailed Description of the Karolinska Technique for Intracorporeal Studer Neobladder Reconstruction

Etienne Lavallee, John Sfakianos, Reza Mehrazin, Peter Wiklund

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


In the last two decades, surgical techniques for intracorporeal urinary diversion have been developed with the aim of reducing surgical morbidity. Although increasing constantly, the numbers of urologists offering intracorporeal neobladder reconstruction remain limited due to the complex nature of the procedure. In this article, we aim to provide a detailed description of the surgical technique we currently use at our institution. This technique was initially developed and perfected at the Karolinska Institutet in Sweden starting in 2003. It is a reproducible surgical approach with standardized and well-defined surgical steps. We give a detailed description of the surgical steps and provide tips and tricks to address specific situations and to increase efficiency. We also review the indications, the preoperative considerations, equipment necessary, postoperative considerations, and clinical outcomes for this procedure. Finally, we provide an accompanying didactic surgical video. We believe that this standardized approach can be learned and reproduced safely by motivated robotic surgeons.

Original languageEnglish
Pages (from-to)S67-S72
JournalJournal of Endourology
StatePublished - 1 Sep 2022


  • bladder cancer
  • cystectomy
  • intracorporeal neobladder
  • intracorporeal reconstruction
  • orthotopic neobladder
  • robotic


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