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.