V02-03 APPLICATION OF ROBOTIC ASSISTANCE TO TRANSPLANT URETERONEOCYSTOSTOMY

INTRODUCTION AND OBJECTIVES:Urologists are called upon to assist in management of ureteral strictures following renal transplantation. Refractory strictures can be managed with surgical reconstruction by performing ureteroneocystostomy or pyelovesicostomy. Transplant ureteroneocystostomy is often performed using an open approach. Challenges inherent to this surgery including periureteral fibrosis can be tackled with a robotic approach using advances in robotic surgical tools. Here we demonstrate our technique and rationale for performing robotic-assisted transplant ureteroneocystostomy in select patients.METHODS:We present a single surgeon's initial case series of three patients who underwent transplant ureteroneocystostomy using the daVinci® robotic surgical system, as well as discuss what influences determination of a patient's candidacy for this approach.RESULTS:Three patients with transplant ureteral strictures were identified. The median age was 61 years (26-62 years). All 3 patients failed attempts ...