Abstract
Introduction and Objective: In this video we present a case of a ureteroscopic and robot-assisted redo ureteroplasty with buccal mucosa graft for a proximal ureteral stricture. Methods: Here, we present a case of 72-year-old female patient with a history of a right-sided proximal ureteral stricture after ureteroscopic stone treatment. For this stricture she underwent robotic end-to-end ureteroplasty. Two years later, she presented with recurrence of the stricture for which she underwent balloon dilatation and tandem stenting. Unfortunately, the stricture recurred rapidly. A redo ureteroplasty with buccal mucosa graft was planned. Results: Surgery and postoperative course were uneventful. Six weeks after surgery, the Double-J stent was removed and 4 months postoperatively, the patient is doing fine without evidence for recurrence of the ureteral stricture. Conclusions: The video illustrates how retrograde ureteroscopy in combination with FireFly fluorescence imaging can be a valuable contribution to identifying the ureter, which in redo cases is often surrounded by a lot of fibrotic tissue. Moreover, localization of the stricture site is facilitated by retrograde ureteroscopy. After onlay of the buccal mucosa graft, patency and watertightness of the ureteroplasty can easily be controlled. Authors have received and archived patient consent for video recording/publication in advance of video recording of procedure. All authors declare no conflict of interest in connection with this video. Runtime of video: 3 mins 16 secs
Published Version
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