PMID- 33258325
OWN - NLM
STAT- MEDLINE
DCOM- 20220126
LR  - 20221207
IS  - 2466-054X (Electronic)
IS  - 2466-0493 (Print)
IS  - 2466-0493 (Linking)
VI  - 62
IP  - 1
DP  - 2021 Jan
TI  - Intermediate-term outcomes after robotic ureteral reconstruction for long-segment 
      (>/=4 centimeters) strictures in the proximal ureter: A multi-institutional 
      experience.
PG  - 65-71
LID - 10.4111/icu.20200298 [doi]
AB  - PURPOSE: To report our intermediate-term, multi-institutional experience after 
      robotic ureteral reconstruction for the management of long-segment proximal 
      ureteral strictures. MATERIALS AND METHODS: We retrospectively reviewed our 
      Collaborative of Reconstructive Robotic Ureteral Surgery (CORRUS) database to 
      identify all patients who underwent robotic ureteral reconstruction for 
      long-segment (>/=4 centimeters) proximal ureteral strictures between August 2012 
      and June 2019. The primary surgeon determined the specific technique to 
      reconstruct the ureter at time of surgery based on the patient's clinical history 
      and intraoperative findings. Our primary outcome was surgical success, which we 
      defined as the absence of ureteral obstruction on radiographic imaging and 
      absence of obstructive flank pain. RESULTS: Of 20 total patients, 4 (20.0%) 
      underwent robotic ureteroureterostomy (RUU) with downward nephropexy (DN), 2 
      (10.0%) underwent robotic ureterocalycostomy (RUC) with DN, and 14 (70.0%) 
      underwent robotic ureteroplasty with buccal mucosa graft (RU-BMG). Median 
      stricture length was 4 centimeters (interquartile range [IQR], 4-4; maximum, 5), 
      6 centimeters (IQR, 5-7; maximum, 8), and 5 centimeters (IQR, 4-5; maximum, 8) 
      for patients undergoing RUU with DN, RUC with DN, and RU-BMG, respectively. At a 
      median follow-up of 24 (IQR, 14-51) months, 17/20 (85.0%) cases were surgically 
      successful. Two of four patients (50.0%) who underwent RUU with DN developed 
      stricture recurrences within 3 months. CONCLUSIONS: Long-segment proximal 
      ureteral strictures may be safely and effectively managed with RUC with DN and 
      RU-BMG. Although RUU with DN can be utilized, this technique may be associated 
      with a higher failure rate.
CI  - (c) The Korean Urological Association, 2021.
FAU - Lee, Matthew
AU  - Lee M
AUID- ORCID: 0000-0001-9142-5714
AD  - Department of Urology, Lewis Katz School of Medicine at Temple University, 
      Philadelphia, PA, USA. matthewlee019@gmail.com.
FAU - Lee, Ziho
AU  - Lee Z
AUID- ORCID: 0000-0001-6884-3678
AD  - Department of Urology, Lewis Katz School of Medicine at Temple University, 
      Philadelphia, PA, USA.
FAU - Koster, Helaine
AU  - Koster H
AUID- ORCID: 0000-0003-3019-9615
AD  - Department of Urology, Hackensack University Medical Center, Hackensack, NJ, USA.
FAU - Jun, Minsuk
AU  - Jun M
AUID- ORCID: 0000-0002-5497-3209
AD  - Department of Urology, New York University Grossman School of Medicine at New 
      York University Langone Medical Center, New York, NY, USA.
FAU - Asghar, Aeen M
AU  - Asghar AM
AUID- ORCID: 0000-0002-9813-0254
AD  - Department of Urology, Lewis Katz School of Medicine at Temple University, 
      Philadelphia, PA, USA.
FAU - Lee, Randall
AU  - Lee R
AUID- ORCID: 0000-0002-2424-7409
AD  - Department of Urology, Lewis Katz School of Medicine at Temple University, 
      Philadelphia, PA, USA.
FAU - Strauss, David
AU  - Strauss D
AUID- ORCID: 0000-0003-3023-3297
AD  - Department of Urology, Lewis Katz School of Medicine at Temple University, 
      Philadelphia, PA, USA.
FAU - Patel, Neel
AU  - Patel N
AUID- ORCID: 0000-0001-5836-8172
AD  - Department of Urology, Hackensack University Medical Center, Hackensack, NJ, USA.
FAU - Kim, Daniel
AU  - Kim D
AUID- ORCID: 0000-0001-5457-1966
AD  - Department of Urology, Hackensack University Medical Center, Hackensack, NJ, USA.
FAU - Komaravolu, Sreeya
AU  - Komaravolu S
AUID- ORCID: 0000-0001-6464-2203
AD  - Department of Urology, Hackensack University Medical Center, Hackensack, NJ, USA.
FAU - Drain, Alice
AU  - Drain A
AUID- ORCID: 0000-0002-4571-5160
AD  - Department of Urology, New York University Grossman School of Medicine at New 
      York University Langone Medical Center, New York, NY, USA.
FAU - Metro, Michael J
AU  - Metro MJ
AUID- ORCID: 0000-0002-8062-4555
AD  - Department of Urology, Lewis Katz School of Medicine at Temple University, 
      Philadelphia, PA, USA.
FAU - Zhao, Lee
AU  - Zhao L
AUID- ORCID: 0000-0002-4029-0669
AD  - Department of Urology, New York University Grossman School of Medicine at New 
      York University Langone Medical Center, New York, NY, USA.
FAU - Stifelman, Michael
AU  - Stifelman M
AUID- ORCID: 0000-0003-2361-6863
AD  - Department of Urology, Hackensack University Medical Center, Hackensack, NJ, USA.
FAU - Eun, Daniel D
AU  - Eun DD
AUID- ORCID: 0000-0001-7630-2740
AD  - Department of Urology, Lewis Katz School of Medicine at Temple University, 
      Philadelphia, PA, USA.
CN  - Collaborative of Reconstructive Robotic Ureteral Surgery (CORRUS)
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20201112
PL  - Korea (South)
TA  - Investig Clin Urol
JT  - Investigative and clinical urology
JID - 101674989
SB  - IM
MH  - Aged
MH  - Blood Loss, Surgical
MH  - Constriction, Pathologic/complications/surgery
MH  - Flank Pain/etiology
MH  - Follow-Up Studies
MH  - Humans
MH  - Kidney/surgery
MH  - Length of Stay
MH  - Middle Aged
MH  - Mouth Mucosa/transplantation
MH  - Operative Time
MH  - Plastic Surgery Procedures/*methods
MH  - Recurrence
MH  - Retrospective Studies
MH  - Robotic Surgical Procedures
MH  - Time Factors
MH  - Treatment Outcome
MH  - Ureter/pathology/*surgery
MH  - Ureteral Obstruction/diagnostic imaging/etiology/*surgery
PMC - PMC7801167
OTO - NOTNLM
OT  - Reconstructive surgical procedures
OT  - Robotic surgical procedures
OT  - Ureter
COIS- Matthew Lee, Ziho Lee, Helaine Koster, Minsuk Jun, Aeen M. Asghar, Randall Lee, 
      David Strauss, Neel Patel, Daniel Kim, Sreeya Komaravolu, and Alice Drain have no 
      competing financial interests. Michael J. Metro is a consultant and speaker for 
      Endo Pharmaceuticals, Coloplast and Boston Scientific. Lee Zhao is a consultant 
      for Intuitive Surgical. Michael Stifelman is a lecturer for Intuitive, on the 
      Scientific Advisory Board for CONMED, a consultant for VTI Medical, and performs 
      educational activities for Ethicon. Daniel D. Eun is a paid speaker, consultant, 
      and proctor for Intuitive Surgical, a consultant for Johnson and Johnson, 
      performs support for trainees for Hitachi Aloka, and is a founder/part owner of 
      Melzi Corp.
EDAT- 2020/12/02 06:00
MHDA- 2022/01/27 06:00
PMCR- 2021/01/01
CRDT- 2020/12/01 06:06
PHST- 2020/06/26 00:00 [received]
PHST- 2020/07/24 00:00 [revised]
PHST- 2020/08/06 00:00 [accepted]
PHST- 2020/12/02 06:00 [pubmed]
PHST- 2022/01/27 06:00 [medline]
PHST- 2020/12/01 06:06 [entrez]
PHST- 2021/01/01 00:00 [pmc-release]
AID - 62.e6 [pii]
AID - 10.4111/icu.20200298 [doi]
PST - ppublish
SO  - Investig Clin Urol. 2021 Jan;62(1):65-71. doi: 10.4111/icu.20200298. Epub 2020 
      Nov 12.