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Robot-assisted redo ureteral reimplantation in adults after failed primary surgery: technique and outcomes from two centers.

Minerva Urol Nephrol

December 2024

Department of Urology, Institute of Urology, National Urological Cancer Center, Peking University First Hospital, Peking University, Beijing, China -

Background: The aim of this study was to report our technical experience and mid-term outcomes of robot-assisted redo ureteral reimplantation in adults following failed primary ureteral reimplantation.

Methods: Twelve patients underwent robot-assisted redo ureteral reimplantation from December 2020 to May 2022 at double centers. Surgical procedures included anti-reflux dismembered submucosal tunnel reimplantation, anti-reflux dismembered nipple reimplantation, and anti-reflux non-dismembered submucosal tunnel reimplantation.

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: Kidney transplantation is the treatment of choice for children with end-stage renal disease (ESRD), but its outcome can be affected by urological complications, with incidence rates of 2.5-25%. The aim of this study was to evaluate the occurrence of urological complications and their management in a cohort of pediatric kidney transplant recipients.

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Mateo is a 2-week-old male who presented for evaluation of neonatal fever and whose parents speak Spanish. Workup revealed pyelonephritis, underlying renal anomalies, and vesicoureteral reflux. A complex interplay of individual and contextual factors contributed to Mateo not receiving prophylactic antibiotics, which ultimately led to a potentially preventable subsequent admission for sepsis secondary to Escherichia coli pyelonephritis with bacteremia.

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Article Synopsis
  • The study focuses on the postoperative management and complications faced by 29 children, aged 9 to 18, who received kidney transplants due to congenital kidney and urinary tract abnormalities.
  • Early postoperative complications occurred in 20.6% of the patients, including issues like delayed graft function and hematomas, while 34.4% experienced late complications such as urinary tract infections and reflux.
  • Results showed that while most complications were manageable, one patient faced chronic kidney rejection due to not adhering to their post-transplant treatment plan, necessitating another transplant.
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Background: Augmentation cystoplasty (AC) is a useful alternative for the treatment of neuropathic bladder, although there are few studies reporting long-term results. We assess our experience over the last 30-years.

Methods: A retrospective study was conducted in patients with neuropathic bladder in whom AC was performed in our institution between 1990-2020.

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