Robotic Assisted Surgery For Ureteric Conditions
Robotic Surgery For Ureteral Stricture
URETERAL PROBLEMS
Issues in the tube (ureter) draining pee out of the kidney into the bladder can happen in the ureteropelvic junction (UPJ), the collecting tube inside the kidney, or beyond "downstream" in the ureter as it goes to the bladder. Robotic surgery for UPJ obstacles is explained elsewhere.
CAUSES OF URETERAL SURGERY
- Infections
- Retroperitoneal fibrosis (from aggravation or immune system disease)
- Injuries (from external trauma e.g., car accidents or gunshots)
- Scarring or injure from past surgery (e.g., hysterectomy or Ureteroscopy)
- Radiation (for instance, to treat cervical cancer)
- Ureteral reflux
- Large kidney stones stuck in the ureter
- Congenital (inherited) abnormalities that produce a narrowed ureter or cause a nearby blood vessel to strangle the ureter.
From above condition if any of these conditions restricted or compress the ureter enough to block pee flow, you may feel signs, (for example, flank pain or blood in the pee) and you are at danger for infections, kidney stones, or kidney harm.
For blockages (called strictures), surgery includes removing the blocked part of the ureter and reconnecting the healthy end to re-make a free- flowing tube. A stent (a plastic tube) can be embedded inside the mended ureter for support. An impermanent drainage tube may also be required to expel liquid from the patient's side after surgery.
If the ureteral blockage is close to the bladder, the specialist may avoid the blockage by stitching the ureter into the bladder.
For patients with vesicoureteral reflux (when the pee flows in reverse, out of the bladder up in the direction of the kidney), the specialist can either relocate or reproduce the ureter to avoid further reflux.
In a special process for patients with retroperitoneal fibrosis, the specialist executes a ureterolysis—a tough method that frees the ureter from encasing fibrotic bonds (scar tissue) that chunk the flow of pee.
ADVANTAGES
Utilizing the da Vinci Surgical method, a specialist can usually perform robotic surgery for any of these ureteral conditions through 3 to 5 little cuts on the abdomen.
This robotic surgery for ureteral stricture normally permits exact repair or freeing of ureteral stricture with littler entry points, decreased blood loss, less pain, less hospital stay (as a rule 2 to 3 days versus a week), and quicker recovery before a come back to normal activites.
The robotic system is very useful in ureteral surgical procedure where the specialist needs accuracy to keep away from nearby veins, stitch back together the healthy ureter ends with the best possible fit and tension, and appropriately put in the stents and drains.
In ureterolysis for retroperitoneal fibrosis, the capability of the modest robotic instruments to work at almost any point makes it much easier (versus routine laparoscopic).
