Robotic-assisted laparoscopic extravesical ureteroneocystostomy for management of adult ureteral duplication with upper pole prostatic urethral insertion.
A 55-year-old male presented with progressive lower urinary tract symptoms and renal colic. The workup revealed a complete left ureteral duplication with a hydronephrotic upper pole moiety inserting into the prostatic urethra. Using a 5-port transperitoneal robotic-assisted laparoscopic technique, an extravesical upper pole ureteroneocystostomy was performed. Clinical follow-up and repeat imaging documented symptomatic and radiographic improvement. Robotic-assisted laparoscopic reconstructive techniques are feasible and efficacious in the management of adult ureteral anomalies.
Department of Urology, University of Pittsburgh School of Medicine, Pennsylvania 15213, USA. larsonja2@upmc.edu
Jeffrey A
JA
Larson
Jeffrey J
JJ
Tomaszewski
Marc C
MC
Smaldone
Stephen V
SV
Jackman
D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012371:Robotics; D015607:Stents; D014057:Tomography, X-Ray Computed; D014513:Ureter / Q000002:abnormalities* / Q000601:surgery*; D014519:Ureterostomy / Q000379:methods*; D014521:Urethra / Q000002:abnormalities* / Q000601:surgery*