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Robotic Repair of Ureteral Strictures: Techniques and Review

  • Kidney Diseases (G Ciancio, Section Editor)
  • Published:
Current Urology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

To provide an overview and description of the different surgical techniques for the robotic repair of ureteral strictures.

Recent Findings

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.

Summary

Robotic reconstructive techniques are useful for repairing ureteral strictures, obtaining good functional results with less morbidity and faster recovery than open procedures.

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Author information

Author notes

  1. Javier Reinoso Elbers and Moises Rodríguez Socarrás contributed equally to this work.

Authors and Affiliations

  1. Instituto de Cirugía Urológica Avanzada (ICUA) - Clínica CEMTRO II, Ventisquero de la Condesa 48, 3ª Planta, 28034, Madrid, Spain

    Javier Reinoso Elbers, Moises Rodríguez Socarrás, Juan Gómez Rivas, Diego M Carrion & Fernando Gómez Sancha

  2. Oficina de Investigacion CAU (Confederacion Americana de Urologia), Madrid, Argentina

    Ana Maria Autran

  3. Department of Urology, Campus-Biomédico University, Rome, Italy

    Francesco Esperto

  4. Department of Urology, IMED Hospitales, Benidorm, Spain

    Leonardo Tortolero

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  1. Javier Reinoso Elbers
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Correspondence to Moises Rodríguez Socarrás.

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Javier Reinoso Elbers, Moises Rodríguez Socarrás, Juan Gómez Rivas, Ana Maria Autran, Francesco Esperto, Leonardo Tortolero, Diego Carrion, and Fernando Gómez Sancha each declare no potential conflicts of interest.

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Elbers, J.R., Rodríguez Socarrás, M., Rivas, J.G. et al. Robotic Repair of Ureteral Strictures: Techniques and Review. Curr Urol Rep 22, 39 (2021). https://doi.org/10.1007/s11934-021-01056-8

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