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Robotic Repair of Ureteral Strictures: Techniques and Review

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To provide an overview and description of the different surgical techniques for the robotic repair of ureteral strictures. The robotic repair of ureteral stenosis has emerged as a useful option… Click to show full abstract

To provide an overview and description of the different surgical techniques for the robotic repair of ureteral strictures. The robotic repair of ureteral stenosis has emerged as a useful option for treating strictures unsuitable for endoscopic resolution with good results, lower morbidity, and faster recovery than open techniques. Depending on the stricture’s length and location, the reconstructive options are reimplantation, psoas hitch, Boari flap, ureteroureterostomy, appendiceal onlay flap, buccal mucosa graft (BMG) ureteroplasty, ileal replacement, or renal autotransplantation. The robotic approach offers a magnified vision and the possibility of adding near-infrared fluorescence (NIRF) imaging, indocyanine green (ICG), and FireflyTM to facilitate the technique. Multicenter studies with extended follow-up still have to confirm the good results obtained in published case series. Robotic reconstructive techniques are useful for repairing ureteral strictures, obtaining good functional results with less morbidity and faster recovery than open procedures.

Keywords: strictures techniques; techniques review; ureteral strictures; robotic repair; repair ureteral

Journal Title: Current Urology Reports
Year Published: 2021

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