V03-10 ROBOTIC-ASSISTED LEFT ILEAL URETER INTERPOSITION FOR A LONG SEGMENT URETERAL STRICTURE

INTRODUCTION AND OBJECTIVES:The ileal ureter is a valuable reconstructive technique in the setting of long segment or panureteral stricture disease, adding to the arsenal of ureteral reconstruction options. We demonstrate a case of a robotic-assisted left ileal ureter creation for a 53-year-old female who presented with bilateral ureteral strictures years after being treated for genitourinary tuberculosis. A uretero-ureterostomy was first performed for the right side stricture. This video will focus on repair of the left side.METHODS:Complete assessment of stricture location and length should be performed prior to definitive repair. After adequate antegrade and retrograde pyelography was performed, an open-ended ureteral catheter was left in each ureter for intraoperative access. The patient was positioned in modified left flank, at approximately 30 degrees, and a total of 5 ports were used with the Xi robotic platform. One assistant 12 mm port was additionally placed. After mobilization of the descending...