V03-05 ROBOTIC ASSISTED LAPAROSCOPIC BUCCAL MUCOSAL GRAFT URETEROPLASTY FOR RECURRENT UPPER AND LOWER URETERAL STRICTURES

Abstract

INTRODUCTION AND OBJECTIVES:Recurrent ureteral strictures have higher complexity for repair compared to initial surgery for ureteral reconstruction. We describe a series of patients treated with robotic assisted laparoscopic (RAL) buccal mucosal graft (BMG) ureteroplasty and demonstrate techniques utilized to improve efficiency in these complex cases.METHODS:Retrospective review was conducted for the initial four cases of RAL ureteroplasty with BMG performed by a single surgeon between July and October 2017. Video recordings of these cases were reviewed to identify techniques utilized to facilitate completion of these complex cases using a RAL approach.RESULTS:All four cases were completed using RAL approach without need for conversion to an open procedure. Average patient age was 55 years. Two patients had lower ureteral strictures that initially resulted from prior pelvic surgery. Both of these patients developed recurrent lower ureteral strictures after prior ureteroneocystostomy with psoas hitch. The ...