Robotic Multiport Buccal Mucosa Graft Ureteroplasty: Tips and Tricks

Robotic buccal mucosa graft ureteroplasty (RU-BMG) has become a cornerstone in the armamentarium of robotic ureteral reconstruction. Previously, long-segment strictures of the proximal and mid-ureter were relegated to aggressive reconstructive options such as ileal ureter substitution and renal autotransplantation. RU-BMG has emerged as an option for repair with comparatively minimal morbidity and excellent success rates. We herein present a detailed description of our pre- and postoperative considerations, operative techniques, and tips and tricks. The accompanying video provides multiple examples of intraoperative decision-making and technical nuances to maximize efficiency and efficacy.