Robotic-assisted ileal ureter reconstruction: step-by-step guide
Urolithiasis is one of the most common causes of urology consultation. Management for ureteral stones <10 mm can include observation and alpha-blockers. If unsuccessful, stones >10 mm, or complicated (obstructed or infected), definitive treatment may involve ureteroscopy, shock-wave lithotrips...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-09-01
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| Series: | Urology Video Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590089725000155 |
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| Summary: | Urolithiasis is one of the most common causes of urology consultation. Management for ureteral stones <10 mm can include observation and alpha-blockers. If unsuccessful, stones >10 mm, or complicated (obstructed or infected), definitive treatment may involve ureteroscopy, shock-wave lithotripsy, percutaneous nephrolithotripsy, or open or minimally invasive approaches. Selection will depend primarily on the location and size of the stone. Stones < 20 mm are best managed through ureteroscopy, which achieves a high stone-free rate in a single procedure, although not except for complications, which can occur in up to 25 % of cases. These include iatrogenic displacement of a ureteral calculus into the wall of the ureter, bleeding, perforation, stricture, and avulsion. In this video, we present a case of ureteral avulsion managed with robotic-assisted ileal ureter reconstruction, describing the step-by-step technique for a successful outcome. |
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| ISSN: | 2590-0897 |