Society of Robotic Surgery 2017: State-of-the-Art Lecture: Female Urinary Reconstructive Procedures

Miami, Florida USA (UroToday.com) Dmitry Pushkar, MD, Ministry of Health and Social Development of the Russian Federation, presented a state-of-the-art lecture targeting female urinary reconstructive procedures. There are both routine and new procedures that are being increasingly explored. Robotic sacrocolpopexy data are limited by single-center and some multicenter studies. . Management of female genitourinary complications include ureteral reimplantation during which robotics has a potential application in this arena, albeit dependent on timing of injury and repair. Robotics offer improved visualization, less pain, and fewer days of hospital stay than the open procedure does. These patients may have prior radiotherapy, extensive lysis of adhesions, and previous surgeries that may lead to difficulties. However, robotics may still be pursued, although with caution. Use of Boari flaps and the psoas hitch via robotics help to relieve tension in ureteral reimplantation. Quality of life and functional outcomes improve with robotics in the arena of female urology. Urologists must be vigilant, though, in keeping exclusive oversight of robotic female urinary reconstructive procedures in their hands, with the reinforcement of adequate collaborative research initiatives.

Presented By: Dmitry Pushkar, MD, Ministry of Health and Social Development of the Russian Federation

Contributed by Stephen B. Williams, MD, Assistant Professor, The University of Texas Medical Branch at Galveston, Galveston, TX

at the 2017 Society of Robotic Surgery - February 24 - 26, 2017 – Miami, Florida USA

Login