Abstract
Background: Congenital mid-ureteral stricture (CMUS) is a rare diagnosis almost exclusively repaired with ureteroureterostomy in infancy or early childhood. Case Report: We describe a unique case of a 2-year-old child with both a CMUS and ipsilateral obstructed megaureter, which was addressed in a single operative setting using a robotic Heineke-Mikulicz nondismembered ureteroplasty for the CMUS and a dismembered tapered extravesical ureteral reimplant for the obstructed megaureter. Conclusion: Compared with ureteroureterostomy, a nondismembered ureteroplasty for CMUS minimizes the risk of ureteral vascular compromise and can be particularly beneficial in cases where the affected ureter requires additional reconstruction. Use of robot-assisted technology for complex ureteral reconstruction in the pediatric population is safe and effective.
Original language | English (US) |
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Pages (from-to) | 88-91 |
Number of pages | 4 |
Journal | Journal of Endourology Case Reports |
Volume | 5 |
Issue number | 3 |
DOIs | |
State | Published - Sep 2019 |
Externally published | Yes |
Keywords
- CMUS
- Heineke-Mikulicz ureteroplasty
- hydroureteronephrosis
- robotic ureteral reconstruction
- ureteral stricture
ASJC Scopus subject areas
- Urology