25 results match your criteria ureteroplasty buccal

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

Ann Palliat Med 2021 Mar 23. Epub 2021 Mar 23.

Department of Urology, Peking University First Hospital, Beijing, China; Institute of Urology, Peking University, Beijing, China; National Urological Cancer Center, Beijing, China.

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. Read More

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Ureteral Rest is Associated With Improved Outcomes in Patients Undergoing Robotic Ureteral Reconstruction of Proximal and Middle Ureteral Strictures.

Urology 2021 Feb 25. Epub 2021 Feb 25.

Lewis Katz School of Medicine at Temple University, Philadelphia, PA.

Objectives: To evaluate the effect of ureteral rest on outcomes of robotic ureteral reconstruction.

Methods: We retrospectively reviewed all patients who underwent robotic ureteral reconstruction of proximal and/or middle ureteral strictures in our multi-institutional database between 2/2012-03/2019 with ≥12 months follow-up. All patients were recommended to undergo ureteral rest, which we defined as the absence of hardware (ie. Read More

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February 2021

Intermediate-term outcomes after robotic ureteral reconstruction for long-segment (≥4 centimeters) strictures in the proximal ureter: A multi-institutional experience.

Investig Clin Urol 2021 Jan 12;62(1):65-71. Epub 2020 Nov 12.

Department of Urology, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.

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. Read More

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January 2021

Editorial Comment to Buccal mucosal ureteroplasty for the management of ureteric strictures: A systematic review of the literature.

Authors:
Akio Horiguchi

Int J Urol 2021 02 24;28(2):195. Epub 2020 Nov 24.

Department of Urology, National Defense Medical College, Saitama, Japan.

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February 2021

Robotic Ureteral Reconstruction.

Urol Clin North Am 2021 Feb 5;48(1):91-101. Epub 2020 Nov 5.

NYU Langone Health Department of Urology, 11th Floor, 222 East 41st Street, New York, NY 10017, USA. Electronic address:

Robotically assisted laparoscopic techniques may be used for proximal and distal ureteral strictures. Distal strictures may be approached with ureteroneocystotomy, psoas hitch, and Boari flap. Ureteroureterostomy, buccal mucosa graft ureteroplasty, and appendiceal flap ureteroplasty are viable techniques for strictures anywhere along the ureter. Read More

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February 2021

Buccal mucosal ureteroplasty for the management of ureteric strictures: A systematic review of the literature.

Int J Urol 2021 Feb 6;28(2):189-195. Epub 2020 Nov 6.

SA Health, Adelaide, South Australia, Australia.

Objective: To review the published literature evaluating the efficacy and safety of buccal mucosa ureteroplasty.

Methods: A systematic literature review was carried out using a protocol devised a priori. The review was registered with the Joanna Briggs Institute. Read More

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February 2021

Robotic Ureteral Reconstruction in Patients with Radiation-Induced Ureteral Strictures: Experience from the Collaborative of Reconstructive Robotic Ureteral Surgery.

J Endourol 2021 Feb 21;35(2):144-150. Epub 2020 Sep 21.

Department of Urology, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA.

Management of radiation-induced ureteral stricture (RIUS) is complex, requiring chronic drainage or morbid definitive open reconstruction. Herein, we report our multi-institutional comprehensive experience with robotic ureteral reconstruction (RUR) in patients with RIUSs. In a retrospective review of our multi-institutional RUR database between January 2013 and January 2020, we identified patients with RIUSs. Read More

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February 2021

A Multi-Institutional Experience With Robotic Ureteroplasty With Buccal Mucosa Graft: An Updated Analysis of Intermediate-Term Outcomes.

Urology 2021 Jan 13;147:306-310. Epub 2020 Aug 13.

Department of Urology, Lewis Katz School of Medicine at Temple University, Philadelphia, PA.

Objective: To update our prior multi-institutional experience with robotic ureteroplasty with buccal mucosa graft and analyze our intermediate-term outcomes. Although our previous multi-institutional report provided significant insight into the safety and efficacy associated with robotic ureteroplasty with buccal mucosa graft, it was limited by small patient numbers.

Methods: We retrospectively reviewed our multi-institutional database to identify all patients who underwent robotic ureteroplasty with buccal mucosa graft between October 2013 and March 2019 with ≥12 months follow up. Read More

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January 2021

Onlay Repair Technique for the Management of Ureteral Strictures: A Comprehensive Review.

Biomed Res Int 2020 27;2020:6178286. Epub 2020 Jul 27.

Department of Urology, Temple University School of Medicine, 255S 17th Street, 7th Floor Medical Tower, Philadelphia, PA 19103, USA.

Ureteroplasty using onlay grafts or flaps emerged as an innovative procedure for the management of proximal and midureteral strictures. Autologous grafts or flaps used commonly in ureteroplasty include the oral mucosae, bladder mucosae, ileal mucosae, and appendiceal mucosae. Oral mucosa grafts, especially buccal mucosa grafts (BMGs), have gained wide acceptance as a graft choice for ureteroplasty. Read More

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Multi-institutional Experience Comparing Outcomes of Adult Patients Undergoing Secondary Versus Primary Robotic Pyeloplasty.

Urology 2020 Nov 18;145:275-280. Epub 2020 Jul 18.

Department of Urology, Lewis Katz School of Medicine at Temple University, Philadelphia, PA.

Objective: To describe surgical techniques and peri-operative outcomes with secondary robotic pyeloplasty (RP), and compare them to those of primary RP.

Methods: We retrospectively reviewed our multi-institutional, collaborative of reconstructive robotic ureteral surgery (CORRUS) database for all consecutive patients who underwent RP between April 2012 and September 2019. Patients were grouped according to whether they underwent a primary or secondary pyeloplasty (performed for a recurrent stricture after previously failed pyeloplasty). Read More

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November 2020

Single port robotic assisted reconstructive urologic surgery-with the da Vinci SP surgical system.

Transl Androl Urol 2020 Apr;9(2):870-878

Hackensack University Medical Center, Hackensack Meridian School of Medicine at Seton Hall University, NJ, USA.

Background: Single port (SP) robotic assisted laparoscopic surgery was approved by the FDA for urologic surgery and clinically available in 2018. This new robotic system enables a camera and 3 separate instruments, with fully wristed motions, to be placed through a single 25 mm port. This system was designed to perform complex surgery in narrow deep spaces making it very suitable for complex urinary tract reconstruction surgery. Read More

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

Investig Clin Urol 2020 05 9;61(3):316-322. Epub 2020 Mar 9.

Department of Urology, Ludwig Maximilians University, Munich, Germany.

Purpose: To report a single surgeon experience with one year follow-up after open ureteroplasty with buccal mucosa graft (OUBMG) 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. Read More

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Laparoscopic ureteroplasty with buccal mucosa graft for long proximal ureteral stenosis: A step by step video.

Int Braz J Urol 2020 Jan-Feb;46(6):141-142

Departamento de Urologia, Hospital de Clínicas de Porto Alegre, Santa Cecília, Porto Alegre, RS, Brasil.

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December 2018

[Use of buccal graft for the management of ureteral strictures].

Urologiia 2018 Mar(1):138-142

N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology branch of the NMRRC of Minzdrav of Russia, Moscow, Russia.

This review analyses of the results of using buccal mucosa graft for the management of ureteral strictures. The authors identified sixteen original studies presenting the results of ureteral reconstruction using buccal grafts. Of them, twelve, three and one studies used the open, robotic and laparoscopic technique, respectively. Read More

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A Review of Buccal Mucosa Graft Ureteroplasty.

Curr Urol Rep 2018 Mar 1;19(4):23. Epub 2018 Mar 1.

Department of Urology, Temple University School of Medicine, 255 S 17th Street, 7th Floor Medical Tower, Philadelphia, PA, 19103, USA.

Purpose Of Review: We review the buccal mucosa graft (BMG) ureteroplasty literature to evaluate its utility in the management of ureteral strictures, identify indications for which it is particularly useful, and highlight refinements in surgical technique.

Recent Findings: Recent reports have described the efficacy of robotic BMG ureteroplasty and the utilization of near-infrared fluorescence to assist with precise identification of the ureteral stricture margins. BMG ureteroplasty is well-suited for ureteral reconstruction as it allows for minimal disruption of the delicate ureteral blood supply and facilitates a tension-free anastomosis. Read More

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Robotic buccal mucosa graft ureteroplasty (inlay and onlay) for upper ureteric stricture: Point of technique.

J Minim Access Surg 2018 Oct-Dec;14(4):357-361

Departments of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India.

Ureteral stricture resulting from chronic inflammations such as tuberculosis, recurrent stone disease and multiple endourological interventions are complex in nature; these may lead to severe adhesions to surrounding structures. Endourological management of these cases is difficult with poorer outcomes. In such situations, reconstructive surgical corrections remain a reliable option. Read More

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February 2018

Robotic Ureteral Reconstruction Using Buccal Mucosa Grafts: A Multi-institutional Experience.

Eur Urol 2018 Mar 26;73(3):419-426. Epub 2017 Nov 26.

Department of Urology, Hackensack University Medical Center, Hackensack, NJ, USA.

Background: Minimally invasive treatment of long, multifocal ureteral strictures or failed pyeloplasty is challenging. Robot-assisted buccal mucosa graft ureteroplasty (RBU) is a technique for ureteral reconstruction that avoids the morbidity of bowel interposition or autotransplantation.

Objective: To evaluate outcomes for RBU in a multi-institutional cohort of patients treated for revision ureteropelvic junction obstruction and long or multifocal ureteral stricture at three tertiary referral centers. Read More

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Robotic Buccal Mucosal Graft Ureteroplasty for Complex Ureteral Stricture.

Urology 2017 Dec 6;110:257-258. Epub 2017 Jul 6.

Vattikuti Urology Institute, Henry Ford Hospital, Detroit, MI.

Objective: To demonstrate robot-assisted ureterolysis and buccal mucosal graft (BMG) ureteroplasty for the management of a complex, long recurrent ureteral stricture developing after ureterolysis, and also to demonstrate the use of near-infrared fluorescence (NIRF) imaging and intraoperative ureteroscopy during this procedure.

Methods: A 58-year-old man with a history of cabergoline treatment and a cardiac catheterization through the left groin presented with left flank pain and hydronephrosis. A computed tomography scan showed extensive fibrosis around the ureter and a ureteral stricture close to a tortuous left external iliac artery. Read More

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December 2017

Robotic Ureteroplasty with Buccal Mucosa Graft for the Management of Complex Ureteral Strictures.

J Urol 2017 12 20;198(6):1430-1435. Epub 2017 Jul 20.

Department of Urology, Temple University School of Medicine, Philadelphia, Pennsylvania; Department of Otolaryngology (JCL), Temple University School of Medicine, Philadelphia, Pennsylvania.

Purpose: Surgical management of proximal and mid ureteral strictures that are not amenable to primary excision and anastomosis is challenging. Although a buccal mucosa graft is commonly used during substitution urethroplasty, its use in substitution ureteroplasty is limited. We describe our technique of robotic ureteroplasty with a buccal mucosa graft to manage complex ureteral strictures and we report our outcomes. Read More

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December 2017

[Buccal mucosa graft for the treatment of long ureteral stenosis: Bibliographic review.]

Arch Esp Urol 2017 May;70(4):445-453

Servicio de Urología. Hospital Universitario Puerta de Hierro de Majadahonda. Madrid. España.

Objective: To perform a literature review on the use of buccal mucosa graft (BMG) in the treatment of extensive ureteral stenosis, according to the criteria of Evidence Based Medicine.

Methods: Pubmed search of published studies with the following keywords: "ureteral stricture treatment", "buccal mucosa graft ureteral treatment" and "buccal mucosa graft ureteroplasty", without time limits, in English and Spanish; 12 articles were identified with a total of 48 cases (46 patients) of BMG use in ureteral repair.

Results: The main etiologies of ureteral stenosis, where BMG has been applied, have been iatrogenic and inflammatory strictures. Read More

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Robotic Buccal Ureteroplasty: a Review of the Current Literature.

Curr Urol Rep 2017 May;18(5):40

Department of Urology, Temple University School of Medicine, Philadelphia, PA, USA.

Purpose Of Review: This study aimed to provide an overview of the literature on buccal mucosal ureteroplasty for ureteral stricture disease, with a specific focus on the application of the robotic platform to buccal ureteroplasty.

Recent Findings: In our review, we highlight the results of Zhao et al. from the New York University School of Medicine Department of Urology, as well as our own results from Temple University Hospital. Read More

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Long ureteric stricture replacement by buccal mucosa graft: an Armenian experience case series report.

Cent European J Urol 2016 14;69(2):217-20. Epub 2016 Apr 14.

Clinic of Urology, "Kanaker - Zeytun" Medical Center, Armenia.

Introduction: The aim of this study is to demonstrate the results of a case series concerning the replacement of long ureteric strictures using buccal mucosa grafts.

Material And Methods: Five patients (3 men, 2 women), with a mean age of 35 years old, underwent reconstructive ureteral surgery using buccal mucosa graft with omental wrapping during the period of 2010-2013. In all cases, the location of strictures was in the proximal ureters with the length of strictures varying from 2. Read More

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Robot-Assisted Ureteral Reconstruction Using Buccal Mucosa.

Urology 2015 Sep 26;86(3):634-8. Epub 2015 Jun 26.

Department of Urology, New York University, Langone Medical Center, New York, NY.

Objective: To describe the technique of robotic buccal mucosa graft ureteroplasty as a minimally invasive alternative method of ureteral reconstruction for proximal or multifocal ureteral strictures not amenable to primary anastomosis.

Methods: Between October 2013 and May 2014, we performed robotic-assisted ureteral reconstruction using buccal mucosa grafts in four patients (mean age 41.5, range 23-67). Read More

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September 2015

Outcomes of robotic-assisted laparoscopic upper urinary tract reconstruction: 250 consecutive patients.

BJU Int 2015 Oct 16;116(4):604-11. Epub 2015 Jun 16.

Department of Urology, NYU Langone Medical Center, New York, NY, USA.

Objective: To evaluate the long-term outcomes of robotic-assisted laparoscopic (RAL) upper urinary tract (UUT) reconstruction performed at a tertiary referral centre.

Materials And Methods: Data from 250 consecutive patients undergoing RAL UUT reconstruction, including pyeloplasty with or without stone extraction, ureterolysis, uretero-ureterostomy, ureterocalicostomy, ureteropyelostomy, ureteric reimplantation and buccal mucosa graft ureteroplasty, were collected at a tertiary referral centre between March 2003 and December 2013. The primary outcomes were symptomatic and radiographic improvement of obstruction and complication rate. Read More

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October 2015

Buccal mucosa ureteroplasty for the treatment of complex ureteric injury.

Indian J Surg 2011 Jan 3;73(1):71-2. Epub 2010 Dec 3.

Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, India.

Bowel interposition and auto-transplantation of kidney, thought to be a major undertaking, remain the traditional option for the treatment of major and complex ureteric lesions. Buccal mucosa, a well known tissue for urethral reconstruction, can be used safely for the repair of ureter. However, this has been reported poorly in the literature. Read More

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January 2011
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