Robotic-Assisted Laparoscopic Management of Vesicoureteral Reflux

Lessons learned over a decade of pediatric robotic ureteral reimplantation

The da Vinci robotic system has improved surgeon dexterity, ergonomics, and visualization to allow for a minimally invasive option for complex reconstructive procedures in children. Over the past decade, robot-assisted laparoscopic ureteral reimplantation (RALUR) has become a viable minimally invasive surgical option for pediatric vesicoureteral reflux (VUR). However, higher-than-expected compl...

Treatment of Vesicoureteral Reflux after Puberty

Vesicoureteral reflux is uncommonly diagnosed and treated after puberty. The natural history of uncorrected VUR after puberty is not documented. Postpubertal patients with recurrent pyelonephritis and VUR should be considered for treatment. Ureteral reimplantation, endoscopic injections, and laparoscopic or robotic ureteral reimplantation may be utilized. Endoscopic injection is an appealing op...

Laparoscopic correction of vesicoureteral reflux in children: review of the current literature.

Vesicoureteral reflux is one of the most important pediatric urology topics. The correction of this pathology by means of open and endoscopic surgery has been well established. The laparoscopic approaches are evolved with the aim of combining the minimally invasive nature of endoscopic treatments with the high success rates of open surgeries. The first applications of laparoscopic ureteral reim...

A Novel Method for Measuring, Regardless of Image Distortion and Lens Varying Specifications in Endoscopic Treatment of Vesicoureteral Reflux

Current Surgical Management of Vesicoureteral Reflux

Vesicoureteral reflux (VUR), a common congenital urinary tract anomaly, refers to retrograde flow of urine from the bladder into the upper urinary tract. The main goal in the treatment of pediatric VUR is to preserve renal function by preventing pyelonephritis. Many surgical management options are available for pediatric VUR. Open ureteral reimplantation has a high success rate but is invasive ...