Robotic Pyeloplasty Step by Step

Abstract

Abstract Introduction: Although open pyeloplasty has been the gold standard for management of ureteropelvic junction obstruction (UPJO), several options are available, including antegrade and retrograde endopyelotomy as well as laparoscopic and robotic pyeloplasty. Robotic pyeloplasty has developed into a successful approach to treat adults and children with UPJO. We present a detailed instructional video to demonstrate the individual steps of robotic pyeloplasty. Materials and Methods: A step-by-step account of our current surgical technique of robotic pyleoplasty is described in this video tutorial: retrograde pyelogram and placement of a ureteral stent; placement of trocars; isolation of the ureter; dissection of renal pelvis with placement of hitch stitch; mobilization of renal pelvis; spatulation of the ureter; reduction of renal pelvis; ureteral anastomosis; and/or removal of stone; closure of renal pelvis. Results: Tips that will aid in achieving optimal outcomes include complete mobilization of th...