Robot-Assisted Laparoscopic Heineke-Mikulicz Ureteroplasty for Congenital Mid-Ureteral Stricture and Ipsilateral Distal Megaureter Repair in a Child

Charlotte Q. Wu, Andrew J. Kirsch

Research output: Contribution to journalArticlepeer-review

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 languageEnglish (US)
Pages (from-to)88-91
Number of pages4
JournalJournal of Endourology Case Reports
Volume5
Issue number3
DOIs
StatePublished - Sep 2019
Externally publishedYes

Keywords

  • CMUS
  • Heineke-Mikulicz ureteroplasty
  • hydroureteronephrosis
  • robotic ureteral reconstruction
  • ureteral stricture

ASJC Scopus subject areas

  • Urology

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