Abstract
Objective
Management of late-occurring or long (>3 cm) post-transplant ureteral strictures usually
requires open surgery, which includes ureteroureterostomy (UU) as an option. Recently,
robotic-assisted laparoscopic UU for ectopic ureters in a duplicated system has been
described. We report a case of a robotic-assisted laparoscopic transplant-to-native
side-to-side UU in a 14-year-old girl with a stricture of nearly two-thirds of her
transplant ureter 5 years after a cadaveric renal transplant.
Results
Robotic-assisted laparoscopic native-to-transplant UU was performed with resultant
durable improvement in the patient's hydronephrosis and kidney function.
Conclusion
Based on our case and review of the literature, robotic-assisted laparoscopic UU should
be part of the armamentarium for long or late-occurring transplant ureteral strictures.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric UrologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Transplant ureter stricture following renal transplantation: surgical options.Transplant Proc. 2011; 43: 383-386
- Ureteral stenosis after kidney transplantation: a study on 869 consecutive transplants.Transpl Int. 1999; 12: 334
- Robotic management of benign mid and distal ureteral strictures and comparison with laparoscopic approaches at a single institution.Urology. 2012; 80: 596-601
- Robot-assisted laparoscopic ipsilateral ureteroureterostomy for ectopic ureters in children: description of technique.J Endourol. 2012; 26: 1279-1283
Article info
Publication history
Published online: September 23, 2014
Accepted:
July 21,
2014
Received:
July 10,
2014
Footnotes
∗The full article and supplementary video relating to this article can be found at http://dx.doi.org/10.1016/j.jpurol.2014.07.011.
Identification
Copyright
© 2014 Journal of Pediatric Urology Company. Published by Elsevier Inc. All rights reserved.
