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. 2024 Mar 4;29(2):98–103. doi: 10.4103/jiaps.jiaps_131_23

Table 1.

Summary of the cases undergoing ureteric reimplantation using robot-assisted Foley tie ureteric tapering

Case number Age/sex Diagnosis Investigations Surgical procedure Operating time Estimated blood loss Hospital stay Outcome at 1 year
Case 1 3 years, male Bilateral primary VUR, left PFK USG: Right kidney - 5.4 cm with raised echoes. Left kidney - 9.3 cm, gross hydroureteronephrosis with marked cortical thinning VCUG: Bilateral VUR (left - grade 5, right - grade 2), bladder capacity 210 mL DMSA: Left kidney 23%, scars + Robotic bilateral intravesical ureteric reimplantation with excisional tapering of the left ureter 180 min 50 mL 5 days Resolution of VUR; no UTI
Case 2 12 years, male Left PFK with grade V VUR Contrast-enhanced CT: Gross left hydroureteronephrosis up to the lower end of the ureter DMSA: Left PFK (30%), scars + VCUG: Left grade 5 VUR; bladder capacity 450 mL Robotic intravesical left ureteric reimplantation with excisional tapering 200 min 35 mL 5 days Resolution of VUR; no UTI
Case 3 12 years, male Bilateral grade 5 VUR USG: Bilateral gross hydroureteronephrosis; left distal ureter - 2 cm, right distal ureter - 1.8 cm VCUG: Bilateral grade 5 VUR; bladder capacity 550 mL DMSA: Left kidney 60%, right kidney 40% Robotic bilateral intravesical ureteric reimplantation with Cohen’s technique and tapering of the left ureter 210 min 50 mL 6 days Resolution of VUR; no UTI
Case 4 6 years, female Right PFK with ectopic ureter and grade 5 VUR USG: Small right kidney (5.5 cm × 2.3 cm) with moderate hydroureteronephrosis) VCUG: Right grade 5 VUR; bladder capacity 250 mL DMSA: Right kidney 17%, scars + Robot right intravesical ureteric reimplantation with tapering of the right ureter 200 min 40 mL 5 days Resolution of VUR; no UTI

DMSA: Dimercaptosuccinic acid, PFK: Poorly functioning kidney, USG: Ultrasonography, UTI: Urinary tract infection, VCUG: Voiding cystourethrogram, VUR: Vesicoureteral reflux, CT: Computed tomography