V08-07 ROBOTIC PYELOPLASTY OF LOWER POLE MOIETY IN A 2 MONTH OLD INFANT WITH CUTANEOUS PYELOURETERAL (CPU) STENT

Abstract

You have accessJournal of UrologyCME1 May 2022V08-07 ROBOTIC PYELOPLASTY OF LOWER POLE MOIETY IN A 2 MONTH OLD INFANT WITH CUTANEOUS PYELOURETERAL (CPU) STENTis corrected byV08-07 Robotic Pyeloplasty of Lower Pole Moiety in a 2 Month Old Infant With Cutaneous Pyeloureteral (CPU) Stent. Erratum Amrita Mohanty, Clark Judge, Anastasia Gliatis, Tony Da Lomba, and Mohan Gundeti Amrita MohantyAmrita Mohanty More articles by this author , Clark JudgeClark Judge More articles by this author , Anastasia GliatisAnastasia Gliatis More articles by this author , Tony Da LombaTony Da Lomba More articles by this author , and Mohan GundetiMohan Gundeti More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002606.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Robotic-assisted laparoscopic pyeloplasty has been demonstrated to be safe and effective in infants. Here we demonstrate the steps to a left robotic pyeloplasty of a ureteropelvic junction obstruction in the lower pole moiety in a 2 month old with a duplicated left collecting system using a CPU stent. METHODS: Prenatal detection of left hydronephrosis and postnatal imaging confirmed grade 4 left hydronephrosis. Renal scan demonstrated significant obstruction of the left kidney, preserved renal function on the left (45%), and a possible duplex system on the left. Voiding cystourethrogram showed no ureteral reflux. The patient had not had any UTIs and was on antibiotic prophylaxis. After discussion with the patient’s parents, they elected to undergo a robotic left pyeloplasty to protect the patient’s renal function. RESULTS: The patient was found to have a duplicated system on the left with a high grade stenosis of the lower pole ureteropelvic junction and a dilated lower pole renal pelvis. The procedure was able to be completed in the standard fashion after the two ureters were dissected apart. The patient recovered well and was discharged on post op day 1. CPU stent was removed on post op day 12. He did suffer a superficial infection of the umbilical surgical site that resolved with antibiotics. At 6 weeks post-op, the patient was doing well and renal ultrasound showed a decompressed, but still hydronephrotic, left kidney. CONCLUSIONS: This video demonstrates that a robotic-assisted laparoscopic pyeloplasty with the use of a CPU stent can safely and effectively be performed in infants, even with duplicated systems. The CPU stent allows for stent removal in the office, avoiding a second round of anesthesia for the patient. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsRelated articlesJournal of UrologyMay 4, 2022, 12:00:00 AMV08-07 Robotic Pyeloplasty of Lower Pole Moiety in a 2 Month Old Infant With Cutaneous Pyeloureteral (CPU) Stent. Erratum Volume 207Issue Supplement 5May 2022Page: e715 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Amrita Mohanty More articles by this author Clark Judge More articles by this author Anastasia Gliatis More articles by this author Tony Da Lomba More articles by this author Mohan Gundeti More articles by this author Expand All Advertisement PDF DownloadLoading ...