Robot-assisted pyeloplasty with buccal mucosa graft for the management of an extended recurrent ureteropelvic junction stricture

A clinical case of robot-assisted pyeloplasty with buccal mucosa graft of an extended recurrent stricture of the left ureteropelvic junction is presented. The patient had previously undergone left-sided laparoscopic antevasal pyeloplasty and retrograde endopyelotomies with ureteral stenting. However...

Full description

Saved in:
Bibliographic Details
Main Authors: B. G. Guliev, D. M. Ilyin, Zh. P. Avazkhanov
Format: Article
Language:Russian
Published: Ministry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional Education 2021-12-01
Series:Вестник урологии
Subjects:
Online Access:https://www.urovest.ru/jour/article/view/508
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849341800258469888
author B. G. Guliev
D. M. Ilyin
Zh. P. Avazkhanov
author_facet B. G. Guliev
D. M. Ilyin
Zh. P. Avazkhanov
author_sort B. G. Guliev
collection DOAJ
description A clinical case of robot-assisted pyeloplasty with buccal mucosa graft of an extended recurrent stricture of the left ureteropelvic junction is presented. The patient had previously undergone left-sided laparoscopic antevasal pyeloplasty and retrograde endopyelotomies with ureteral stenting. However, after these interventions, the dilatation of the left pelvicalyceal system persisted, the patient complained of lumbar pain and periodic exacerbations of chronic pyelonephritis. Transperitoneal robotic access isolated the ureteral upper third and the ureteropelvic junction from scar tissue, after dissecting the narrowed ureteral section, its length was about 3.0 cm. In this regard, plastic surgery was performed with a buccal mucosa graft, the ureter was drained with a stent. There were no postoperative complications, and on day 3 the patient was discharged. The stent was removed 4 weeks after. During the control ultrasound examination, the renal pelvicalyceal system was relatively reduced, and the patient did not notice any pain.
format Article
id doaj-art-fee46a0c7c714ee381974febb5712ed2
institution Kabale University
issn 2308-6424
language Russian
publishDate 2021-12-01
publisher Ministry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional Education
record_format Article
series Вестник урологии
spelling doaj-art-fee46a0c7c714ee381974febb5712ed22025-08-20T03:43:33ZrusMinistry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional EducationВестник урологии2308-64242021-12-019412212610.21886/2308-6424-2021-9-4-122-126350Robot-assisted pyeloplasty with buccal mucosa graft for the management of an extended recurrent ureteropelvic junction strictureB. G. Guliev0D. M. Ilyin1Zh. P. Avazkhanov2Mechnikov North-Western State Medical University; St. Petersburg Mariinsky Hospital — Urology Centre with Robot-assisted SurgeryMechnikov North-Western State Medical UniversityMechnikov North-Western State Medical University; St. Petersburg Mariinsky Hospital — Urology Centre with Robot-assisted SurgeryA clinical case of robot-assisted pyeloplasty with buccal mucosa graft of an extended recurrent stricture of the left ureteropelvic junction is presented. The patient had previously undergone left-sided laparoscopic antevasal pyeloplasty and retrograde endopyelotomies with ureteral stenting. However, after these interventions, the dilatation of the left pelvicalyceal system persisted, the patient complained of lumbar pain and periodic exacerbations of chronic pyelonephritis. Transperitoneal robotic access isolated the ureteral upper third and the ureteropelvic junction from scar tissue, after dissecting the narrowed ureteral section, its length was about 3.0 cm. In this regard, plastic surgery was performed with a buccal mucosa graft, the ureter was drained with a stent. There were no postoperative complications, and on day 3 the patient was discharged. The stent was removed 4 weeks after. During the control ultrasound examination, the renal pelvicalyceal system was relatively reduced, and the patient did not notice any pain.https://www.urovest.ru/jour/article/view/508ureterureteropelvic junctionstrictureureteroplastybuccal mucosa graft plastyrobot-assisted ureteroplasty
spellingShingle B. G. Guliev
D. M. Ilyin
Zh. P. Avazkhanov
Robot-assisted pyeloplasty with buccal mucosa graft for the management of an extended recurrent ureteropelvic junction stricture
Вестник урологии
ureter
ureteropelvic junction
stricture
ureteroplasty
buccal mucosa graft plasty
robot-assisted ureteroplasty
title Robot-assisted pyeloplasty with buccal mucosa graft for the management of an extended recurrent ureteropelvic junction stricture
title_full Robot-assisted pyeloplasty with buccal mucosa graft for the management of an extended recurrent ureteropelvic junction stricture
title_fullStr Robot-assisted pyeloplasty with buccal mucosa graft for the management of an extended recurrent ureteropelvic junction stricture
title_full_unstemmed Robot-assisted pyeloplasty with buccal mucosa graft for the management of an extended recurrent ureteropelvic junction stricture
title_short Robot-assisted pyeloplasty with buccal mucosa graft for the management of an extended recurrent ureteropelvic junction stricture
title_sort robot assisted pyeloplasty with buccal mucosa graft for the management of an extended recurrent ureteropelvic junction stricture
topic ureter
ureteropelvic junction
stricture
ureteroplasty
buccal mucosa graft plasty
robot-assisted ureteroplasty
url https://www.urovest.ru/jour/article/view/508
work_keys_str_mv AT bgguliev robotassistedpyeloplastywithbuccalmucosagraftforthemanagementofanextendedrecurrentureteropelvicjunctionstricture
AT dmilyin robotassistedpyeloplastywithbuccalmucosagraftforthemanagementofanextendedrecurrentureteropelvicjunctionstricture
AT zhpavazkhanov robotassistedpyeloplastywithbuccalmucosagraftforthemanagementofanextendedrecurrentureteropelvicjunctionstricture