A 66-year-old male, with an undiagnosed duplex system, underwent a Robotic-assisted Radical Prostatectomy that was complicated by an ectopic ureter injury. Given the incidence of less than 0.001%, management of ectopic ureters for patients undergoing a RARP is foreign to most urologists. The delayed presentation lead us to opt for selective angioembolisation of the hydronephrotic segment. Symptoms completely resolved and a follow up scan showed resolution of the hydronephrosis as well as hypovascularized parenchyma of the upper moiety. A literature review was done along with this example of non-surgical management of a rare RARP complication.

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http://dx.doi.org/10.1016/j.urology.2020.05.033DOI Listing

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