IPEG 2020 TOP ABSTRACT: Robotic Surgery for Iatrogenic Ureterovesical Stenosis

October 07, 2020
Presenter: Suzi Demirbag

Gokhan Berktug Bahadir; Bahadir Caliskan; Sevim Ecem Unlu Balli; Huseyin Emre Atasever; Gulenay Korkmaz; Ervin Mambet; Mustafa Kemal Aslan; Ilhami Surer; Suzi Demirbag; Gulhane Training and Research Hospital, Pediatric Surgery

Aim: The aim of this study is to share of robotic ureteroneocystostomy and ureteral narrowing performed for iatrogenic ureterovesical stenosis.

Case: Stage four vesicourethral reflux was detected in a three-years-old boy who was followed for antenatal hydronephrosis and had recurrent urinary tract infection. Previously subureteric injections were performed in an external center. Radiological and scintigraphic examination revealed decreased right renal function (11%), severe hydroureteronephrosis and ureterovesical stenosis. The patient underwent robotic ureteroneocystostomy and ureteral narrowing. The patient was discharged on the 8th postoperative day and has been followed up for 11 months. The patient no longer had urinary tract infection and renal function was found to be 16%.

Discussion: Ureteral injection is a minimally invasive method commonly used in the treatment of vesicourethral reflux. However, it can cause serious complications. In problematic cases, robotic surgery can be performed safely and more easily compared to open surgery.

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