MP53-02 RECONSTRUCTION OF OBLITERATED URETERAL STRICTURES IS ASSOCIATED WITH INCREASED DIFFICULTY

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: Ureter (including Pyeloplasty) and Bladder Reconstruction fistula), Augmentation, Substitution, Diversion II (MP53)1 Sep 2021MP53-02 RECONSTRUCTION OF OBLITERATED URETERAL STRICTURES IS ASSOCIATED WITH INCREASED DIFFICULTY Randall Lee, Ziho Aeen Asghar, David Strauss, Robert Harrison, Nathan Cheng, Lee Zhao, Michael Stifelman, Daniel Eun LeeRandall More articles by this author , LeeZiho AsgharAeen Asghar StraussDavid Strauss HarrisonRobert Harrison ChengNathan Cheng ZhaoLee Zhao StifelmanMichael Stifelman EunDaniel View All Author Informationhttps://doi.org/10.1097/JU.0000000000002083.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: There is currently a paucity literature evaluating predictors increased difficulty for ureteral reconstruction. Herein, we evaluate whether stricture patency (ie. obliterated versus narrowed) affect the METHODS: The multi-institutional Collaborative Reconstructive Robotic Ureteral Surgery (CORRUS) database was queried patients who underwent reconstruction from June 2012 February 2019. Strictures were identified as narrowed. Patients with strictures defined those unable be traversed contrast or an endoscopic guidewire. We utilized operating time (OT), estimated blood loss (EBL), frequency utilization adjunctive mobility procedures (downward nephropexy, psoas hitch) surrogates procedure difficulty. Surgical success absence flank pain improvement obstruction on renal scan. RESULTS: A total 361 presented surgical management. 55 206 narrowed identified. no difference in length between two subsets (P=0.162). Obliterated had significantly longer OT when located proximal/mid ureter (239 vs 160 min, P=0.002 278 190 P=0.05, respectively). EBL slightly higher (100 50 cc, P=0.005). at required more adjunct mobilization procedures, 32% 14.7% (P=0.029). major complications (24% 7.9%, P=0.01), but clinical radiographic rates remained similar regardless location (P=0.3 P=0.94). CONCLUSIONS: demonstrate that proximal mid are associated complexity likelihood utilize procedures. Despite complexity, strictures. Defining aids preoperative planning managing intraoperative expectations. No differences seen distal Source Funding: None © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e939-e939 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...