Diana K Bowen1, Jessica T Casey1, Earl Y Cheng1, Edward M Gong2. 1. Ann and Robert H. Lurie Children's Hospital of Chicago, Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. 2. Ann and Robert H. Lurie Children's Hospital of Chicago, Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. Electronic address: emgong@northwestern.edu.
Abstract
OBJECTIVE: Management of late-occurring or long (>3 cm) post-transplant ureteral strictures usually requires open surgery, which includes ureteroureterostomy (UU) as an option. Recently, robotic-assisted laparoscopic UU for ectopic ureters in a duplicated system has been described. We report a case of a robotic-assisted laparoscopic transplant-to-native side-to-side UU in a 14-year-old girl with a stricture of nearly two-thirds of her transplant ureter 5 years after a cadaveric renal transplant. RESULTS: Robotic-assisted laparoscopic native-to-transplant UU was performed with resultant durable improvement in the patient's hydronephrosis and kidney function. CONCLUSION: Based on our case and review of the literature, robotic-assisted laparoscopic UU should be part of the armamentarium for long or late-occurring transplant ureteral strictures.
OBJECTIVE: Management of late-occurring or long (>3 cm) post-transplant ureteral strictures usually requires open surgery, which includes ureteroureterostomy (UU) as an option. Recently, robotic-assisted laparoscopic UU for ectopic ureters in a duplicated system has been described. We report a case of a robotic-assisted laparoscopic transplant-to-native side-to-side UU in a 14-year-old girl with a stricture of nearly two-thirds of her transplant ureter 5 years after a cadaveric renal transplant. RESULTS: Robotic-assisted laparoscopic native-to-transplant UU was performed with resultant durable improvement in the patient's hydronephrosis and kidney function. CONCLUSION: Based on our case and review of the literature, robotic-assisted laparoscopic UU should be part of the armamentarium for long or late-occurring transplant ureteral strictures.
Authors: B M Zeeshan Hameed; Aiswarya V L S Dhavileswarapu; Syed Zahid Raza; Hadis Karimi; Harneet Singh Khanuja; Dasharathraj K Shetty; Sufyan Ibrahim; Milap J Shah; Nithesh Naik; Rahul Paul; Bhavan Prasad Rai; Bhaskar K Somani Journal: J Clin Med Date: 2021-04-26 Impact factor: 4.241