Robotic ureteral bypass surgery with appendiceal graft for management of long-segment radiation-induced distal ureteral strictures: A case series

Matthew Lee*, Ziho Lee, Michael J. Metro, Daniel D. Eun

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Introduction: Surgical management of long-segment radiation-induced distal ureteral strictures (RIDUS) is challenging. Pelvic radiation can damage the bladder, inhibiting the utilization of typical reconstruction techniques such as a psoas hitch and/or Boari flap. Also, radiation can cause scarring that can make ureterolysis difficult. Case Presentation: We present a case series of patients undergoing robotic ureteral bypass surgery with appendiceal graft for management of strictures in this setting. This novel procedure utilizes the patient’s appendix as a bypass graft to divert urine away from the strictured portion of ureter and into the bladder; this technique does not require dissection of the strictured ureteral segment. Conclusion: Robotic ureteral bypass surgery can be effective for management of long-segment RIDUS.

Original languageEnglish (US)
Pages (from-to)305-309
Number of pages5
JournalJournal of Endourology Case Reports
Volume6
Issue number4
DOIs
StatePublished - 2020
Externally publishedYes

Keywords

  • Appendix
  • Reconstructive surgical procedure
  • Ureter

ASJC Scopus subject areas

  • Urology

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