Urology
Department of Urology, University of Alabama at Birmingham, Birmingham, AL. Electronic address:
Published: November 2017
Objective: To describe a robotic-assisted laparoscopic (RAL) technique for using the appendix to repair ureteral stricture disease MATERIALS AND METHODS: A case of a patient presenting with a 5-cm obliterative right ureteral stricture was reviewed, and surgical technique, complications, and outcomes were reported.
Results: Our patient developed a right-sided 5-cm obliterative ureteral stricture secondary to recurrent stone disease and pyelonephritis. He underwent an uncomplicated RAL repair of his stricture with interposition of the appendix between the 2 segments of ureter. Operative time was just over 6 hours, blood loss was minimal, and there were no complications. A 10-month follow-up showed resolution of hydronephrosis with no flank pain.
Conclusion: We report our initial experience with this procedure and believe that RAL appendiceal interposition for ureteral stricture disease presents an excellent option for reconstruction.
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http://dx.doi.org/10.1016/j.urology.2017.08.017 | DOI Listing |
Eur Urol Open Sci
January 2025
Department of Urology, St. Josef Medical Center, University of Regensburg, Regensburg, Germany.
Background And Objective: Management of a long proximal ureteral stricture is challenging. Buccal mucosal graft (BMG) ureteroplasty is a reliable technique for ureteral reconstruction that avoids the morbidity of bowel interposition or autotransplantation. We compared open and robotic BMG ureteroplasty in a two-center study.
View Article and Find Full Text PDFInvestig Clin Urol
January 2025
Department of Urology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Purpose: To evaluate the feasibility of robot-assisted ureteral reconstruction as a minimally invasive alternative to open surgery for managing ureteric complications in transplanted kidneys.
Materials And Methods: From January 2020 to December 2023, robot-assisted ureteral reconstruction was performed on fifteen kidney transplant patients with vesicoureteral reflux (VUR) or ureteral stricture who had previously failed endoscopic treatments.
Results: Twelve females and three males, with a mean age of 48.
Arch Esp Urol
December 2024
Urology Department, Ankara University Faculty of Medicine, 06480 Ankara, Turkey.
Background: We aimed to assess the rates of urethral stricture in transplant recipients, analyse patients with urethral strictures and present the posttreatment follow-up outcomes.
Methods: Between 2004 and 2023, a retrospective examination was conducted on kidney transplant recipients who underwent removal of ureteral catheters through retrograde cystoscopy at our facility or referred from external centres. The collected data encompassed patient demographics, pre- and posttransplant maximum urinary flow rate, specifics of stenosis, surgical interventions and outcomes from a 1-year follow-up.
Cureus
December 2024
Department of Interventional Radiology, St James's Hospital, Dublin, IRL.
We present a method of internalization of nephroureteral stents to internalized ureteral stents in a patient with an ileac conduit urostomy with radiation-induced ureteral strictures, and recurrent urinary tract infections (UTIs). This technique is applicable to patients requiring internalization of nephroureteral stents in the setting of an ileal conduit, emphasizing patient consent, preparation, position, imaging guidance, and antibiotic prophylaxis. The successful application of this technique offers a practical solution for managing recurrent UTIs in patients with similar medical histories, providing both clinical and procedural insights.
View Article and Find Full Text PDFIntroduction: Auto-expandable ureteral stents can be an alternative to percutaneous nephrostomy (PCN) in refractory ureteral stenosis. Our aim is to analyse results and complications of ureteral stents in our centre.
Methods: Retrospective review of OptiMed® expandable ureteral stents placed in our centre (1996-2022).
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