To describe a robotic-assisted laparoscopic technique for using the appendix to repair ureteral stricture disease MATERIALS AND METHODS: A case of a patient presenting with a 5cm obliterative right ureteral stricture was reviewed, and surgical technique, complications, and outcomes were reported.
Our patient developed a right-sided 5 cm obliterative ureteral stricture secondary to recurrent stone disease and pyelonephritis. He underwent an uncomplicated robotic-assisted laparoscopic repair of his stricture with interposition of the appendix between the two segments of ureter. Operative time was just over 6 hours, blood loss was minimal, and there were no complications. 10 month follow-up showed resolution of hydronephrosis with no flank pain.
We report our initial experience with this procedure and believe that robotic-assisted laparoscopic appendiceal interposition for ureteral stricture disease presents an excellent option for reconstruction.
Urology. 2017 Aug 23 [Epub ahead of print]
Vidhush K Yarlagadda, Jeffrey W Nix, Daniel G Benson, J Patrick Selph
Department of Urology, University of Alabama at Birmingham, Birmingham, AL., Department of Urology, University of Alabama at Birmingham, Birmingham, AL. Electronic address: .