Ileal ureter interpositions are uncommon urologic reconstructions, using a loop of small bowel to replace a damaged ureter. The concept is similar to the formation of a neobladder from small bowel (e.g. ileal conduit), except one is forming a neo-ureter.
What is ileal ureter replacement?
Ileal ureter replacement is a technically feasible surgery to be performed in any patient requiring ureteral reconstruction despite a normal contralateral kidney. As such, it is a better alternative than nephrectomy in cases of complex and multiple ureteral strictures.
What is robotic ureteral reimplantation?
What is a Pediatric Robotic Assisted Laparoscopic Ureteral Reimplant? A ureteral reimplant is a surgical procedure to reposition the ureter into the bladder in a way that prevents vesicoureteral reflux (VUR) of urine into the ureter and kidney during urination.
How do you fix a narrow ureter?
Treatment for ureteral stricture may include surgical implantation of a stent to open the narrowed section of the ureter or minimally invasive robotic surgery to reconstruct the urinary tract. The goal is to fix the stricture permanently and avoid the long term use of stents, whenever possible.
How long does it take for a ureter to heal?
Studies of ureteral healing have demonstrated that the mucosa has healed by 3 weeks and muscular continuity is established by 7 weeks. Thus, many recommend that a stent remain in place for 6-8 weeks after a repair.
How long does ureter surgery take?
This procedure changes the way the ureter is attached to the bladder. The surgery takes place in the hospital while your child is asleep and pain-free. The surgery takes 2 to 3 hours.
How long is ureter repair surgery?
For most ureter repairs, 2-3 hours. If an ileal ureter is needed, 4-5 hours may be needed. Yes, since this procedure involves bladder reconstruction, there will be a bladder catheter from 2-4 weeks after surgery depending on the type of repair.
Is a robotic-assisted left ileal ureter interposition viable for a 10 cm stricture?
Ileal ureters have been well described with open approaches for long segment ureteral strictures. We demonstrate the technique and long-term viability of a robotic-assisted left ileal ureter interposition for a 10 cm ureteral stricture.
Can robotic-assisted left ileal ureter creation be used for genitourinary tuberculosis?
We demonstrate a case of a robotic-assisted left ileal ureter creation for a 53-year-old female who presented with bilateral ureteral strictures years after being treated for genitourinary tuberculosis. A uretero-ureterostomy was first performed for the right side stricture.
How many ureteral ports are used with Xi robotic platform?
After adequate antegrade and retrograde pyelography was performed, an open-ended ureteral catheter was left in each ureter for intraoperative access. The patient was positioned in modified left flank, at approximately 30 degrees, and a total of 5 ports were used with the Xi robotic platform.
