Role of Robotics in the Management of Secondary Ureteropelvic Junction Obstruction

Fatih Atug; Scott V. Burgess; Erik P. Castle; Raju Thomas


Int J Clin Pract. 2006;60(1):9-11. 

In This Article


The patients' characteristics and perioperative parameters are presented in the Table 1 . There were no intraoperative complications or open conversions. Anderson-Hynes-dismembered pyeloplasty was the preferred reconstructive technique in all patients. The Foley catheter in bladder was removed by the patient or family in 48 h. The closed surgical drain was removed 3-5 days postoperatively in the out-patient clinic, and the ureteral stents were cystoscopically removed 4-6 weeks later in all patients.

The mean operative time, which includes cystoscopy, retrograde ureteropyelography and stent placement, was 219.4 min (range 130-345 min) in primary and 279.8 min (range 230-414 min) in secondary pyeloplasty groups. Mean EBL was 49.5 and 52.5 cc in primary and secondary pyeloplasty groups, respectively. The LOS was 1.1 and 1.2 days in group 1 and group 2, respectively. The mean follow-up was 10.7 months (range 3-20 months) in group 1 and 13.5 months (range 3-29 months) in group 2. At 3-month follow-up, objective assessment of the repair was performed with diuretic renography or IVP. A patent UPJ was detected in all patients by renal scan and/or IVP examinations.


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