Robotic Buccal Ureteroplasty: a Review of the Current Literature

Waldorf, Benjamin; Lee, Ziho; Kidd, Laura; Kaplan, Joshua R.; Harris, Andrew; Metro, Michael J.; Liu, Jeffrey; Eun, Daniel

doi:10.1007/s11934-017-0683-x

Cited by 7 publications

(4 citation statements)

References 37 publications

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“…Success rates of these studies are excellent and range between 83% and 100% and no major complications occurred [15][16][17][18][19][20][21]. Some of the recent studies have described a robotic assisted laparoscopic approach [19,21].…”

Section: Discussionmentioning

confidence: 98%

“…Hence, only few series, mainly single case reports or small cohorts (5-19 patients) on BMG in ureteric reconstruction have been published to date (Table 4) [15][16][17][18][19][20][21].…”

Section: Discussionmentioning

confidence: 99%

“…All of the published series have some limitations which are typical for rare diseases: inhomogeneity of the treated patients with different localizations (Table 4) and origins of strictures (e.g., previous radiation), various techniques of BMG graft placement (Table 4), and the lack of structured information of the postoperative renal function [15][16][17][18][19][20][21].…”

Section: Discussionmentioning

confidence: 99%

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Open ureteroplasty with buccal mucosa graft for long proximal strictures: A good option for a rare problem

Hefermehl

Tritschler²,

Kretschmer

et al. 2020

Investig Clin Urol

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Purpose: To report a single surgeon experience with one year follow-up after open ureteroplasty with buccal mucosa graft (OU-BMG) in the rare situation of long segment proximal ureteral strictures. Materials and Methods: Four patients with long segment proximal ureteral stricture underwent OU-BMG between February and July 2017. Functional outcome was assessed by pre-and postoperative serum creatinine, ultrasound and renal scintigraphy as well as patient reported outcomes. Results: Four patients with an average stricture length of 4 cm underwent OU-BMG between February and July 2017. No major postoperative complications occurred. Retrograde uretero-pyelography 6 weeks postoperatively revealed a watertight anastomosis followed by immediate emptying of the renal pelvis and ureter in all four patients. Ureteroscopy at this time showed a wide lumen with well-vascularized pink mucosa. After a mean follow-up time of 12.5 (12-14) months, postoperative serum creatinine was unimpaired. Renal scintigraphy revealed no signs of renal obstruction. With regard to intraoral surgery, no difficulties with mouth opening or intraoral dryness or numbness were reported. Conclusions: For patients with long segment ureteral strictures OU-BMG is a safe technique with excellent surgical and functional outcomes. Hence, the application of this technique should be encouraged and regarded as one of the standard options in case of this rare problem.

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Section: Discussionmentioning

confidence: 98%

“…Hence, only few series, mainly single case reports or small cohorts (5-19 patients) on BMG in ureteric reconstruction have been published to date (Table 4) [15][16][17][18][19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Open ureteroplasty with buccal mucosa graft for long proximal strictures: A good option for a rare problem

Hefermehl

Tritschler²,

Kretschmer

et al. 2020

Investig Clin Urol

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“…In recent years, an increasing number of urologists have used oral mucosa grafts (OMGs) or appendiceal grafts to facilitate the management of long proximal or middle USDs and to reduce the utility of ileal replacement and renal autotransplantation (7)(8)(9)(10)(11). With the usage of onlay repair techniques, the lumen of the narrow ureteral segment can be sufficiently expanded to allow urine to flow through the nonobstructive ureter.…”

Section: Introductionmentioning

confidence: 99%

Lingual mucosa graft ureteroplasty for ureteral stricture: a narrative review of the current literature

Yang¹,

Fan²,

Li³

et al. 2021

Ann Palliat Med

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Long proximal or middle ureteral strictures remain challenging conditions. Although ileal replacement of the ureter or renal autotransplantation are possible solutions for these problems, both present complexities and considerable morbidity. In recent years, many urologists have tended to use oral mucosal grafts to repair complex proximal or middle ureteral strictures and thereby avoid ileal replacement and renal autotransplantation. A comprehensive search of oral mucosa graft ureteroplasty and lingual mucosa graft (LMG) ureteroplasty was performed. All literatures must be in English language. Most reports related to oral mucosa graft ureteroplasty focus on buccal mucosa grafts (BMGs). The available data about LMG ureteroplasty are limited. Both LMG and BMG are oral mucosa grafts that have similar histological structures. The success rates of urethroplasty with LMG and BMG are similar. Although there is still no comparative study between LMG and BMG for ureteroplasty, the limited reports show that LMG ureteroplasty is safe and effective for the management of ureteral strictures. This method provides one more option for the management of long proximal and/or middle ureteral strictures. However, the current studies on LMG ureteroplasty have a small sample size and are retrospective. More prospective, multicenter and large sample studies with long-term follow-up results that can further prove the efficacy of LMG ureteroplasty are still needed.

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