Pediatric Robotic Assisted Laparoscopic Pyeloplasty

Ureteropelvic junction obstruction (UPJO) is a common cause of hydronephrosis in the pediatric population. Management with an open dismembered pyeloplasty was first described by Anderson-Hynes in 1949; minimally invasive approaches have been increasingly utilized. In the subsequent text and accompanying video, we review the technique for dismembered robotic assisted laparoscopic pyeloplasty in the pediatric population. Large retrospective series demonstrate an over 90% success rate for robotic assisted laparoscopic pyeloplasty. Given success and complication rates are similar to an open approach, utilization of this approach will likely continue to increase.