title: Robotic-assisted laparoscopic transplant-to-native ureteroureterostomy in a pediatric patient.
abstract: OBJECTIVE
  Management of late-occurring or long (>3 cm) post-transplant ureteral strictures usually requires open surgery, which includes ureteroureterostomy (UU) as an option. Recently, robotic-assisted laparoscopic UU for ectopic ureters in a duplicated system has been described. We report a case of a robotic-assisted laparoscopic transplant-to-native side-to-side UU in a 14-year-old girl with a stricture of nearly two-thirds of her transplant ureter 5 years after a cadaveric renal transplant.
  
  
  RESULTS
  Robotic-assisted laparoscopic native-to-transplant UU was performed with resultant durable improvement in the patient's hydronephrosis and kidney function.
  
  
  CONCLUSIONS
  Based on our case and review of the literature, robotic-assisted laparoscopic UU should be part of the armamentarium for long or late-occurring transplant ureteral strictures.
authors.affiliation: Ann and Robert H. Lurie Children's Hospital of Chicago, Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
authors.forename: Diana K
authors.initials: DK
authors.lastname: Bowen
authors.affiliation: Ann and Robert H. Lurie Children's Hospital of Chicago, Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
authors.forename: Jessica T
authors.initials: JT
authors.lastname: Casey
authors.affiliation: Ann and Robert H. Lurie Children's Hospital of Chicago, Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
authors.forename: Earl Y
authors.initials: EY
authors.lastname: Cheng
authors.affiliation: Ann and Robert H. Lurie Children's Hospital of Chicago, Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. Electronic address: emgong@northwestern.edu.
authors.forename: Edward M
authors.initials: EM
authors.lastname: Gong
mesh_terms: D000293:Adolescent; D003251:Constriction, Pathologic; D005198:Fanconi Syndrome / Q000601:surgery; D006801:Humans; D006869:Hydronephrosis / Q000601:surgery; D016030:Kidney Transplantation / Q000009:adverse effects*; D012371:Robotics; D014513:Ureter / Q000473:pathology* / Q000601:surgery* / Q000637:transplantation; D014515:Ureteral Diseases / Q000601:surgery*; D014519:Ureterostomy / Q000379:methods*
keywords: Renal transplant; Ureteral stricture; Ureteroureterostomy