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Updated: Jun 19, 2026

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How I do it: 3-Suture robotic pyeloplasty: Step-by-step technique.

Alessandro Morlacco1, Filippo Carletti1, Elisa Tonet1

  • 1UOC Urologia Pediatrica, Azienda Ospedale Università Padova, Padova, Italy; Urology Clinic, Department of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.

Journal of Pediatric Urology
|June 17, 2026
PubMed
Summary

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This summary is machine-generated.

Robot-assisted pyeloplasty using a standardized 3-suture technique is effective for pediatric ureteropelvic junction obstruction. This minimally invasive approach demonstrated high success rates and minimal complications in young patients.

Area of Science:

  • Urology
  • Pediatric Surgery
  • Minimally Invasive Surgery

Background:

  • Pediatric ureteropelvic junction obstruction is commonly treated with robot-assisted pyeloplasty.
  • A standardized technique is crucial for consistent outcomes in robotic procedures.

Purpose of the Study:

  • To describe and evaluate a standardized "3-suture" technique for robot-assisted pyeloplasty.
  • To assess the efficacy and safety of this technique in pediatric patients.

Main Methods:

  • A standardized "3-suture" technique was applied in 65 pediatric patients (aged 3-17 years).
  • Data collected included operative time, complication rates (Clavien-Dindo grade III), and surgical success.
  • Follow-up was conducted to assess long-term outcomes.
Keywords:
AnastomosisHydronephrosisPaediatricsRobotic pyeloplastySurgical techniqueUreteropelvic junction obstruction

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Main Results:

  • The 3-suture technique resulted in a median operative time of 150 minutes.
  • Major complications (Clavien-Dindo grade III) occurred in 4.6% of patients.
  • Surgical success was achieved in 96% of cases at a median follow-up of 9.5 months.

Conclusions:

  • The standardized 3-suture technique is a highly reproducible method for robot-assisted pyeloplasty.
  • This approach facilitates accurate anatomical reconstruction and yields excellent surgical outcomes in pediatric patients.
  • Robot-assisted pyeloplasty with this technique represents a gold standard for treating pediatric ureteropelvic junction obstruction.