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Robot-assisted laparoscopic surgery for the management of post-renal transplant ureteric strictures

  • Kishore Thekke Adiyat
  • Vishnu RaveendranEmail author
Urology - Letter to the Editor
  • 12 Downloads

Editor,

I am writing this letter to describe our experience of robotic-assisted laparoscopic surgery as an alternative to the open surgical methods described previously in allograft ureteric strictures. Ureteric stricture is one of the most common reasons for allograft dysfunction, occurring in 2–10% of all patients undergoing renal transplant surgery. Various open and endourologic techniques have been employed in the management of ureteric strictures. Endourologic procedures are performed in majority of patients as an initial intervention aimed at restoring the renal function [1, 2]. Open techniques include ureteric reimplantation, ureterocalicostomy or pelviureterostomy to native ureter, pyelovesicostomy and ureterovesicostomy to Boari flap [3].

Five patients who had transplant ureteric stricture operated in different centers from a period of 25 months from September 2016 to September 2018. All the patients had progressive worsening of renal function with allograft hydronephrosis....

Notes

References

  1. 1.
    Duty BD, Barry JM (2015) Diagnosis and management of ureteral complications following renal transplantation. Asian J Urol 2(4):202–207CrossRefGoogle Scholar
  2. 2.
    Kumar S, Ameli-Renani S, Hakim A, Jeon JH, Shrivastava S, Patel U (2014) Ureteral obstruction following renal transplantation: causes, diagnosis and management. Br J Radiol 87(1044):20140169CrossRefGoogle Scholar
  3. 3.
    Pike TW, Pandanaboyana S, Hope-Johnson T, Hostert L, Ahmad N (2015) Ureteric reconstruction for the management of transplant ureteric stricture: a decade of experience from a single centre. Transpl Int 28:529–534CrossRefGoogle Scholar

Copyright information

© Springer Nature B.V. 2019

Authors and Affiliations

  1. 1.Department of UrologyAster MedcityKochiIndia

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