633 Robotic Ureteric Reconstruction with Non-Urological Tissue

Dr. Vipin Tyagi

The increasing use of rigid and flexible ureteroscopy has led to a rise in ureteric strictures. While the majority of these strictures can be successfully managed by endourological interventions, a subset requires surgical reconstruction utilizing urological tissue. In rare situations, however, urological tissue is insufficient, necessitating the use of non-urological substitutes to restore ureteric continuity. Such reconstructions are technically demanding as they involve harvesting and adapting non-urological tissue for ureteric substitution. Robotic assistance can greatly facilitate these procedures by enhancing surgical precision while maintaining a minimally invasive approach. Commonly employed non-urological tissues include buccal mucosa and bowel segments. We present three cases of complex robotic ureteric reconstruction: one using buccal mucosa, and two utilizing ileal segment and appendix respectively. These cases highlight the feasibility and versatility of robotic techniques in managing complex ureteric strictures requiring non-urological tissue substitution.
Procedure Innovation, Urologic Surgery, Ureteric Strictures, Robotic Ureteric Reconstruction

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