Robot Assisted Boari Flap Ureteric Reimplantation

Boari’s bladder flap reconstruction is one of the management options for lower ureteric stricture. It is the preferred treatment option in situation where the stricture segment is either proximal or is longer in length, thus precluding tension free reimplantation with direct vesico ureteric anastomosis with or without psoas hitch. Other than open surgery, Boari’s flap can also be performed by minimally invasive surgical approach with laparoscopy. Extensive suturing involved in laparoscopy, increases the operative duration and also increases the surgeon fatigue. Robot assisted approach is helpful in such cases, mainly because of the ease of the suturing and the preservation of vascularity due to minimal and delicate handling of tissues.