Laparoscopic and Robot-Assisted Laparoscopic Management of Iatrogenic Ureteral Strictures: Preliminary Experience
Iatrogenic ureteral strictures are uncommon but challenging to manage. We present our expertise in laparoscopic and robot-assisted laparoscopic ureteroureterostomy (LUU and RAUU) for lumbar and iliac strictures and laparoscopic ureteral reimplantation for pelvic strictures. A descriptive study was c...
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MDPI AG
2025-04-01
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| author | Roxana Andra Coman Bogdan Petrut |
| author_facet | Roxana Andra Coman Bogdan Petrut |
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| collection | DOAJ |
| description | Iatrogenic ureteral strictures are uncommon but challenging to manage. We present our expertise in laparoscopic and robot-assisted laparoscopic ureteroureterostomy (LUU and RAUU) for lumbar and iliac strictures and laparoscopic ureteral reimplantation for pelvic strictures. A descriptive study was conducted on nine adult patients who underwent minimally invasive procedures. Six had lumbar or iliac ureteral strictures—five due to ureterorenoscopy and one following pancreaticoduodenectomy for pancreatic cancer. Three developed pelvic strictures after ureterorenoscopy. Preoperative evaluation included a medical history review, abdominal ultrasound, and CT scan. Success was characterized by the absence of symptoms and the lack of obstruction on follow-up imaging at one year. All procedures were technically feasible, with a median operating time of 105 min and a median hospital stay of four days. No major complications occurred. One patient experienced ureteral stricture recurrence following a laparoscopic approach for a lumbar stricture, and required a permanent double-J stent. At a median follow-up of 38 months, 88.88% of patients remained asymptomatic with preserved renal function. Our findings suggest that robotic and laparoscopic ureteral reconstruction performed by experienced surgeons at a tertiary center is a safe and effective option with a low complication rate. |
| format | Article |
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| institution | DOAJ |
| issn | 2075-1729 |
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| spelling | doaj-art-4b90e71ccfba44e9b6fe4f5d4b2ff9cd2025-08-20T03:13:47ZengMDPI AGLife2075-17292025-04-0115464510.3390/life15040645Laparoscopic and Robot-Assisted Laparoscopic Management of Iatrogenic Ureteral Strictures: Preliminary ExperienceRoxana Andra Coman0Bogdan Petrut1Department of Urology, MedLife Humanitas Hospital, 400664 Cluj-Napoca, RomaniaDepartment of Urology, “Iuliu Hatieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, RomaniaIatrogenic ureteral strictures are uncommon but challenging to manage. We present our expertise in laparoscopic and robot-assisted laparoscopic ureteroureterostomy (LUU and RAUU) for lumbar and iliac strictures and laparoscopic ureteral reimplantation for pelvic strictures. A descriptive study was conducted on nine adult patients who underwent minimally invasive procedures. Six had lumbar or iliac ureteral strictures—five due to ureterorenoscopy and one following pancreaticoduodenectomy for pancreatic cancer. Three developed pelvic strictures after ureterorenoscopy. Preoperative evaluation included a medical history review, abdominal ultrasound, and CT scan. Success was characterized by the absence of symptoms and the lack of obstruction on follow-up imaging at one year. All procedures were technically feasible, with a median operating time of 105 min and a median hospital stay of four days. No major complications occurred. One patient experienced ureteral stricture recurrence following a laparoscopic approach for a lumbar stricture, and required a permanent double-J stent. At a median follow-up of 38 months, 88.88% of patients remained asymptomatic with preserved renal function. Our findings suggest that robotic and laparoscopic ureteral reconstruction performed by experienced surgeons at a tertiary center is a safe and effective option with a low complication rate.https://www.mdpi.com/2075-1729/15/4/645iatrogenic ureteral stricturelaparoscopic ureteral repairrobotic ureteral repairureteral strictureureteroureterostomyureteroscopy |
| spellingShingle | Roxana Andra Coman Bogdan Petrut Laparoscopic and Robot-Assisted Laparoscopic Management of Iatrogenic Ureteral Strictures: Preliminary Experience Life iatrogenic ureteral stricture laparoscopic ureteral repair robotic ureteral repair ureteral stricture ureteroureterostomy ureteroscopy |
| title | Laparoscopic and Robot-Assisted Laparoscopic Management of Iatrogenic Ureteral Strictures: Preliminary Experience |
| title_full | Laparoscopic and Robot-Assisted Laparoscopic Management of Iatrogenic Ureteral Strictures: Preliminary Experience |
| title_fullStr | Laparoscopic and Robot-Assisted Laparoscopic Management of Iatrogenic Ureteral Strictures: Preliminary Experience |
| title_full_unstemmed | Laparoscopic and Robot-Assisted Laparoscopic Management of Iatrogenic Ureteral Strictures: Preliminary Experience |
| title_short | Laparoscopic and Robot-Assisted Laparoscopic Management of Iatrogenic Ureteral Strictures: Preliminary Experience |
| title_sort | laparoscopic and robot assisted laparoscopic management of iatrogenic ureteral strictures preliminary experience |
| topic | iatrogenic ureteral stricture laparoscopic ureteral repair robotic ureteral repair ureteral stricture ureteroureterostomy ureteroscopy |
| url | https://www.mdpi.com/2075-1729/15/4/645 |
| work_keys_str_mv | AT roxanaandracoman laparoscopicandrobotassistedlaparoscopicmanagementofiatrogenicureteralstricturespreliminaryexperience AT bogdanpetrut laparoscopicandrobotassistedlaparoscopicmanagementofiatrogenicureteralstricturespreliminaryexperience |