Robotic-Assisted Laparoscopic Ureterocalicostomy with Long-Term Follow-Up

Background: Robotic-assisted laparoscopic surgery is being applied to a growing number of procedures. Patient and Methods: A 32-year-old woman with ureteropelvic obstruction underwent a robotic-assisted laparoscopic ureterocalicostomy in 2005. She had an uncomplicated surgery with minimal blood loss and postoperative course. Results: Imaging done serially after surgery remained stable. She became pregnant about 2 years later and ultimately required percutaneous nephrostomy for flank pain and worsening hydronephrosis in the third trimester. Nephrostogram after delivery showed a patent anastomosis, and the nephrostomy tube was removed. Conclusions: Robotic-assisted laparoscopy is an option for patients who require ureterocalicostomy. Long-term outcome at 3 years is favorable.