Abstract
Purpose of Review
This study aimed to provide an overview of the literature on buccal mucosal ureteroplasty for ureteral stricture disease, with a specific focus on the application of the robotic platform to buccal ureteroplasty.
Recent Findings
In our review, we highlight the results of Zhao et al. from the New York University School of Medicine Department of Urology, as well as our own results from Temple University Hospital. Zhao et al. published the first series of four patients who underwent robotic buccal ureteroplasty. Mean stricture length was 3.0 cm, and at a mean follow-up of 15 months, all repairs remained patent. We also describe our results in 10 patients who underwent robotic buccal ureteroplasty at Temple University Hospital. Median stricture length was 3.0 cm, and at a median follow-up of 5 months, all repairs remain patent.
Summary
Robotic buccal ureteroplasty offers a promising option for repair of complex ureteral strictures.
Similar content being viewed by others
Abbreviations
- UPJ:
-
Ureteropelvic junction
- UU:
-
Ureteroureterostomy
- UP:
-
Ureteropyelostomy
- UC:
-
Ureterocalicostomy
- BF:
-
Boari flap
- DN:
-
Downward nephropexy
- IU:
-
Ileal ureter
- RA:
-
Renal autotransplantation
- BMG:
-
Buccal mucosal graft
- IVU:
-
Intravenous urogram
- ICG:
-
Indocyanine green
References
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
Nakada SY, Hsu THS. Management of upper urinary tract obstruction. In: Walsh PC, Retik AB, Vaughn ED, et al., editors. Campbell’s urology. 10th ed. Philadelphia: Saunders-Elsevier Health Sciences; 2012. p.
Tyritzis SI, Wiklund NP. Ureteral strictures revisited…trying to see the light at the end of the tunnel: a comprehensive review. J Endourol. 2015;29:124–36.
Hafez KS, Wolf JS. Update on minimally invasive management of ureteral strictures. J Endourol. 2003;17:453–64.
Wise GJ, Shteynshlyuger A. An update on lower urinary tract tuberculosis. Curr Urol Rep. 2008;9:305–13.
Khalaf I, Shokeir A, Shalaby M. Urologic complications of genitourinary schistosomiasis. World J Urol. 2012;30:31–8.
Knight RB, Hudak SJ, Morey AF. Strategies for open reconstruction of upper ureteral strictures. Urol Clin N Am. 2013;40:351–61.
Lee Z, Eun DD, et al. Single surgeon experience with robot-assisted ureteroureterostomy for pathologies at the proximal, middle and distal ureter in adults. J Endourol. 2013a;27:994–9.
Bowsher WG, Costello AJ, et al. A critical appraisal of the Boari flap. BJU Int. 1982;54:682.
Chang SS, Kock MO. The use of an extended spiral bladder flap for treatment of upper ureteral loss. J Urol. 1996;156:1981–3.
Stein R, Thuroff JW, et al. Psoas hitch and Boari flap ureteroneocystostomy. BJU Int. 2013;112:137–55.
Stoltzenburg J, Kallidonis P, et al. Robot-assisted technique for Boari flap ureteric reimplantation: replacing the techniques of open surgery in robotics. BJU Int. 2016;118:482–4.
Mauck RJ, Morey AF, et al. Central role of Boari bladder flap and downward nephropexy in upper ureteral reconstruction. J Urol. 2011;186:1345–9.
Shoemaker, cited by, Hansen MH, Murray P, et al. The use of bowel in urologic reconstructive surgery. Surg Clin N Am. 2016;96:567–82.
Matlaga BR, Assimos DG, et al. Ileal ureter substitution: a contemporary series. Urology. 2003;62:998–1001.
Bonfig R, Riedmiller H, et al. Ileal ureteric replacement in complex reconstruction of the urinary tract. BJU Int. 2004;93:575–80.
Chung BI, Libertino JA, et al. The use of bowel for ureteral replacement for complex ureteral reconstruction: long term results. J Urol. 2006;175:179–84.
Armatys SA, Bihrle R, et al. Use of ileum as ureteral replacement in urological reconstruction. J Urol. 2009;181:177–81.
Wolff B, Roupret M, et al. Long-term functional outcomes after ileal ureter substitution: a single-center experience. Urology. 2011;78:692–5.
Brando LF, Stein RJ, et al. Robotic ileal ureter: a completely intracorporeal technique. Urology. 2014;83:951–4.
Chopra S, Berger A, et al. Initial series of four-arm robotic completely intracorporeal ileal ureter. J Endourol. 2016;30:395–9.
Dahl DM, McDougal WS. Use of intestinal segments in urinary diversion. In: Walsh PC, Retik AB, Vaughn ED, et al., editors. Campbell’s urology. 10th ed. Philadelphia: Saunders-Elsevier Health Sciences; 2012. p.
Hansen MH, Murray P, et al. The use of bowel in urologic reconstructive surgery. Surg Clin N Am. 2016;96:567–82.
Hardy JD, Eraslan S. Autotransplantation of the kidney for high ureteral injury. J Urol. 1963;90:563–74.
Wotkowicz C, Libertino JA. Renal autotransplantation. BJU Int. 2004;93:253–7.
Eisenberg ML, Stoller ML, et al. Long-term outcomes and late complications of laparoscopic nephrectomy with renal autotransplantation. J Urol. 2008;179:240–3.
Cowan NG, Barry JM, et al. Renal autotransplantation: 27-year experience at 2 institutions. J Urol. 2015;194:1357–61.
Gordon ZN, Abaza R, et al. Completely intracorporeal robotic renal autotransplantation. J Urol. 2014;192:1516–22.
Filipas D, Thuroff JW, et al. The hostology and immunohistochemistry of free buccal mucosa and full-skin grafts after exposure to urine. BJU Int. 1999;84:108–11.
Chapple C, Atala A, et al. SIU/ICUD consultation on urethral strictures: the management of anterior urethral stricture disease using substitution urethroplasty. Urology. 2014;83(supplement 3a):s31–47.
Bhargava S, Chapple CR. Buccal mucosal urethroplasty: is it the new gold standard? BJU Int. 2004;93:1991–3.
Somerville JJF, Naude JH. Segmental ureteric replacement: an animal study using a free, non-pedicled graft. Urol Res. 1984;12:115–9.
• Naude JH. Buccal mucosal grafts in the treatment of ureteric lesions. BJU Int. 1999;83:751–4. The first published report of buccal mucosal grafting for ureteral strictures in human patients
Kroepfl D, Musch M, et al. Treatment of long ureteric strictures with buccal mucosal grafts. BJU Int. 2009;105:1452–5.
Badawy AA, Abuzeid AM, et al. Buccal mucosa graft for ureteral stricture substitution: initial experience. Urology. 2010;76:971–5.
Padney A, Keller H, et al. Buccal mucosal graft in reconstructive urology: uses beyond urethral stricture. Int J of Urol. 2014;21:732–4.
Bjurlin MA, Stifelman MD, et al. Near-infrared fluorescence imaging: emerging applications in robotic upper urinary tract surgery. Eur Urol. 2014;65:793–801.
Lee Z, Eun DD, et al. Novel use of indocyanine green for intraoperative, real-time localization of ureteral stenosis during robot-assisted ureteroureterostomy. Urology. 2013b;82:729–33.
Lee Z, Eun DD, et al. Use of indocyanine green during robot-assisted ureteral reconstructions. Eur Urol. 2015;67:291–8.
•• Zhao LC, Stifelman MD, et al. Robot-assisted ureteral reconstruction using buccal mucosa. Urology. 2015;86:634–8. This represents the first published series of robotic buccal ureteroplasty patients from a group who remain at the forefront of developing this technique
Lee Z, Eun DD, et al. Single-surgeon experience with robot-assisted ureteroneocystostomy for distal ureteral pathologies in adults. Korean J Urol. 2013c;54:516–21.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
Benjamin Waldorf, Ziho Lee, Laura Kidd, Joshua Kaplan, Andrew Harris, Michael Metro, and Jeffrey Liu each declare no potential conflicts of interest.
Daniel Eun reports honoraria for teaching activities and lectures for Intuitive Surgical.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Additional information
This article is part of the Topical Collection on Endourology
Rights and permissions
About this article
Cite this article
Waldorf, B., Lee, Z., Kidd, L. et al. Robotic Buccal Ureteroplasty: a Review of the Current Literature. Curr Urol Rep 18, 40 (2017). https://doi.org/10.1007/s11934-017-0683-x
Published:
DOI: https://doi.org/10.1007/s11934-017-0683-x