Abstract

OBJECTIVE: Ureteral injury is one of the most common complications of pelvic surgery. It is estimated that ureteral injury occurs in 0.4% of gynecologic cases and in two thirds of these patients the initial procedure is abdominal hysterectomy. Treatment of this injury consists of ureteral stenting, and in cases in which a stent cannot be placed, nephrostomy tube with subsequent implantation of the ureter is required. Objective of this presentation is to demonstrate robotic assisted ureteral reimplantation. DESCRIPTION: Robotic-assisted laparoscopy was utilized, in this case, to dissect the ureter, and perform minimally invasive Ureteral re-implantation with stent placement and Psoas hitch. CONCLUSION: Robotic ureteral reimplantation is excellent choice of procedure in repair of uretero-vaginal fistula.

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