Abstract
Uretero-pelvic junction obstruction (UPJO) is a common condition, often presenting in adulthood in developing countries. These cases can pose significant problems owing to late presentation and complications such as infection, stones, and impaired renal function. We present the case of a 28-year-old female who presented to us with recurrent symptoms and impaired drainage following a failed open pyeloplasty and robot-assisted ureterocalycostomy for right UPJO. She was managed by robot-assisted boari flap calycovesicostomy, an innovation which helped in salvaging her kidney; ensuring good drainage in the involved kidney. To our knowledge, this is the first such case in the literature in the management of complex UPJO.
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References
Kumar S, Pandya S, Acharya N, Agarwal M, Mandal AK, Singh SK (2008) Laparoscopic management of atypical ureteropelvic junction obstruction: alternative and simple techniques for complex situations. Urol Int 81:87–93
Strother MC, Mucksavage P (2016) Minimally invasive techniques for the management of adult UPJ obstruction. Curr Urol Rep 17:39
Levitt SB, Nabizadeh I, Javaid M, Barr M, Kogan SJ, Hanna MK et al (1981) Primary calycoureterostomy for pelvioureteral junction obstruction: indications and results. J Urol 126:382–386
Rajfer J, Koyle MA, Ehrlich RM, Smith RB (1986) Pyelovesicostomy as a form of urinary reconstruction in renal transplantation. J Urol 136:372–375
Mandal A, Hemal A, Vaidyanathan S (1990) Boari flap calycovesicostomy: a salvage procedure for giant hydronephrosis due to ureteropelvic junction obstruction. J Postgrad Med 36:38
Hemal A, Aron M, Wadhwa S (1998) Nephroplication and nephropexy as an adjunct to primary surgery in the management of giant hydronephrosis. Br J Urol 81:673–677
Musch M, Hohenhorst L, Pailliart A, Loewen H, Davoudi Y, Kroepfl D (2013) Robot-assisted reconstructive surgery of the distal ureter: single institution experience in 16 patients. BJU Int 111:773–783
Sallami S, Cherif K, BEN RS, Dagudagui N, Rochdi E, Nidhameddine K et al (2011) Giant hydronephrosis in adults: what is the best approach? Retrospective analysis of 24 cases. Nephro-Urology Monthly 3:177–181
Selcuk Silay M, Spinoit A-F, Bogaert G, Hoebeke P, Nijman R, Haid B (2016) Imaging for vesicoureteral reflux and ureteropelvic junction. Elsevier, New York, pp 130–138
Danforth DN, Javadpour N, Bergman SM, Terrill R (1980) Pressure effects of urinary reflux studied with renal autotransplantation and pyelocystostomy. Urology 15:17–22
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Written informed consent was obtained from the patient for publication of this case report/any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal. Identity of patient is kept confidential. All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from the patient and shall be available for review by the Editor-in-Chief of this journal.
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Santosh Kumar, Abhishek Chandna, Dharmendar Aggarwal, Shantanu Tyagi, and Nripesh Sadasukhi declare that they have no conflict of interest.
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Kumar, S., Chandna, A., Aggarwal, D. et al. Robot-assisted boari flap calycovesicostomy for failed uretero-pelvic junction obstruction: a novel approach to a complex problem. J Robotic Surg 13, 345–349 (2019). https://doi.org/10.1007/s11701-018-0863-9
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DOI: https://doi.org/10.1007/s11701-018-0863-9