Robotic Assisted Pyeloplasty is a surgical procedure that uses the advantages of robotic technology to treat pelvi-ureteric junction (PUJ) obstruction.
PUJ obstruction is a condition where the flow of urine is impaired at the level between the renal pelvis and the proximal (top) end of the ureter.
The causes for this condition are not fully understood – it could be a result of degenerative, inflammatory processes, trauma, previous instrumentation, sometimes there are blood vessels crossing the ureter on the outside at that level and causing obstruction.
The surgical procedure involves cutting or/and removal of the affected ureteric segment in order to relieve any obstruction and then rejoining the ureter back to the renal pelvis.
The procedure can be also performed with an open or laparoscopic approach, however the advantages of the robotic approach are in quicker recovery, keyhole, (compared to open) and superior suturing and watertight anastomosis i.e. minimal risk of urine leaks, shorter operative time (compared to laparoscopy).