Robotic ureteral reconstruction for endometriosis-induced strictures: insights from a multi-institutional experience - Summary - MDSpire

Robotic ureteral reconstruction for endometriosis-induced strictures: insights from a multi-institutional experience

  • By

  • Matthew Lee

  • Sonam Saxena

  • Kelley Zhao

  • Cameron Dodd

  • Randall Lee

  • Michael Stifelman

  • Lee Zhao

  • Daniel D. Eun

  • October 4, 2025

  • 0 min

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Objective:

To evaluate the outcomes of robotic ureteral reconstruction (RUR) for managing ureteral strictures caused by endometriosis.

Key Findings:
  • 19 patients underwent RUR with a median age of 39 years.
  • 94.7% surgical success rate at median follow-up of 22.5 months, highlighting the effectiveness of RUR.
  • Major complications occurred in 5.3% of patients.
  • Most strictures (78.9%) were located in the distal ureter.
Interpretation:

Robotic ureteral reconstruction appears to be an effective and durable treatment option for ureteral strictures due to endometriosis, with a high success rate and manageable complication profile, emphasizing its significance in treatment options.

Limitations:
  • Retrospective design may introduce selection bias.
  • Small sample size limits generalizability of findings.
  • Variability in postoperative imaging protocols across institutions may affect outcomes.
Conclusion:

RUR offers a promising approach for complex ureteral strictures caused by endometriosis, achieving high rates of surgical success and addressing limitations of existing treatments.

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