Textbook of
Robotic Urologic
Surgery.



Release Date:
January, 2007

Michael Esposito,
Vincent Lanteri
&
Jeffrey Stock

ROBOTIC PYELOPLASTY

A robotic pyeloplasty is the precise removal of a blockage in the ureter leading from one of the kidneys to the bladder (ureteropelvic junction or UPJ). The UPJ is the portion of the collection system that connects the renal pelvis to the ureter. If the transition from the renal pelvis to the ureter is narrow/tight, the urine will not drain easily. This obstruction leads to progressive dilatation of the renal collecting system and can result in pain and progressive deterioration of kidney function.

Robotic pyeloplasty was developed as a minimally invasive alternative to an open procedure for the treatment of ureteropelvic junction obstruction. Robotic pyeloplasty maintains the advantages of the traditional open technique, while minimizing the morbidity due to a large flank incision. The main advantages of robotic pyeloplasty over traditional open technique are a shorter hospital stay and quick return to daily activities. Unlike open pyeloplasty, the robotic procedure will not leave a large, permanent, disfiguring scar. Robotic pyeloplasty makes suturing of the ureter easier, which makes the procedure safer. 

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