Hypothesis / aims of study
Bladder and bowel dysfunction syndrome (BBD) is reported to have no impact on success rate after open ureteral reimplantation (OUR). However, Bladder dysfunction (BD) and urinary retention is reported to be one of the complications after OUR, especially when it is done bilaterally. The aim of this study is to report the preliminary outcome of initial experience with robotic ureteral reimplantation in pediatric patients with VUR and BBD.
Study design, materials and methods
We retrospectively reviewed all pediatric patients who underwent ERALUR. We identified 29 patients between July 2018 and December 2021. We excluded 3 patients who did not have at least 3 months follow. Out of the remaining 26 cases, a total of 23 patients/24 ureters were found to have preoperative BBD. All patients received an average of 6 weeks of preoperative standard Urotherapy.
Interpretation of results
We are reporting results of outcome following ureteral reimplantation via extravesical approach using robotic approach in pediatric patients who also suffer from bladder and bowel dysfunction. Results of this approach in this group of patient in our series showed that bladder and bowel dysfunction did not negatively affect success rate of the surgery using robotic approach, with similar success rate to open approach.