Robot-assisted pyeloplasty with buccal mucosa graft for the management of an extended recurrent ureteropelvic junction stricture
https://doi.org/10.21886/2308-6424-2021-9-4-122-126
Abstract
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.
About the Authors
B. G. Guliev
Mechnikov North-Western State Medical University; St. Petersburg Mariinsky Hospital — Urology Centre with Robot-assisted Surgery
Russian Federation
Competing Interests:
Russian Federation
Bakhman G. Guliev — M. D., Dr. Sc. (Med), Full Prof.; Prof., Dept. of Urology, Mechnikov North-Western State Medical University; Head, Urology Centre with Robot-assisted Surgery, St. Petersburg Mariinsky Hospital.
191015, St. Petersburg, 41 Kirochnaya St.; 191014, St. Petersburg, 56 Liteiny Ave.
Competing Interests:
The authors declare that they have no conflicts of interest.
D. M. Ilyin
Mechnikov North-Western State Medical University
Russian Federation
Competing Interests:
Russian Federation
Dmitriy M. Ilyin — M. D.; Urologist, Urology Centre with Robot-assisted Surgery, St. Petersburg Mariinsky Hospital.
191014, St. Petersburg, 56 Liteiny Ave.
Competing Interests:
The authors declare that they have no conflicts of interest.
Zh. P. Avazkhanov
Mechnikov North-Western State Medical University; St. Petersburg Mariinsky Hospital — Urology Centre with Robot-assisted Surgery
Russian Federation
Competing Interests:
Russian Federation
Zhaloliddin P. Avazkhanov — M. D.; Urologist, Urology Centre with Robot-assisted Surgery, St. Petersburg Mariinsky Hospital; Post-grad. student, Dept. of Urology, Mechnikov North-Western State Medical University.
191015, St. Petersburg, 41 Kirochnaya St.; 191014, St. Petersburg, 56 Liteiny Ave.
Competing Interests:
The authors declare that they have no conflicts of interest.
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Review
For citations:
Guliev B.G., Ilyin D.M., Avazkhanov Zh.P. Robot-assisted pyeloplasty with buccal mucosa graft for the management of an extended recurrent ureteropelvic junction stricture. Urology Herald. 2021;9(4):122-126. (In Russ.) https://doi.org/10.21886/2308-6424-2021-9-4-122-126
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