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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Anatomy of the Genitourinary System I: Kidneys and Ureters01:11

Anatomy of the Genitourinary System I: Kidneys and Ureters

The upper urinary system comprises two kidneys and two ureters, which are crucial in filtering blood and forming urine.KidneysLocation and Structure:The kidneys are two bean-shaped organs positioned behind the peritoneum on either side of the spine.Kidneys are between the 12th thoracic (T12) and the 3rd lumbar (L3) vertebrae.The position of the liver causes the right kidney to sit slightly lower than the left.Protective Layers:Each kidney is enveloped in a tough, fibrous membrane called the...

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Related Experiment Video

Updated: Jul 1, 2026

Surgical Model for Single-Staged Tissue-Engineered Urothelial Tubes in Minipigs
04:05

Surgical Model for Single-Staged Tissue-Engineered Urothelial Tubes in Minipigs

Published on: July 5, 2024

Robotic reconstruction in genitourinary tuberculosis: Surmounting technical challenges.

R Bharath1, Sidhartha Kalra, Rudra Prasad Ghorai

  • 1Department of Urology and Renal Transplantation, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Journal of Minimal Access Surgery
|June 30, 2026
PubMed
Summary
This summary is machine-generated.

Robotic reconstructive surgery for genitourinary tuberculosis (GUTB) is safe and feasible, even with complex anatomical changes. This minimally invasive approach offers better outcomes and reduced morbidity compared to traditional open surgery.

Keywords:
Genitourinary tuberculosisintracorporeal reconstructionrobotic reconstructionsurgical intricacies

Related Experiment Videos

Last Updated: Jul 1, 2026

Surgical Model for Single-Staged Tissue-Engineered Urothelial Tubes in Minipigs
04:05

Surgical Model for Single-Staged Tissue-Engineered Urothelial Tubes in Minipigs

Published on: July 5, 2024

Area of Science:

  • Urology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Genitourinary tuberculosis (GUTB) can lead to severe ureteric strictures, bladder contracture, and impaired renal function.
  • Traditional open reconstruction for GUTB involves significant patient morbidity.
  • Robotic-assisted surgery offers enhanced visualization and precision for complex reconstructions.

Purpose of the Study:

  • To evaluate the complexities and challenges of robotic intracorporeal reconstructive surgery for GUTB.
  • To identify strategies for mitigating intraoperative difficulties and perioperative complications.
  • To assess the feasibility and outcomes of robotic reconstruction in GUTB patients.

Main Methods:

  • Retrospective study of 13 patients with GUTB undergoing robotic urological procedures from January 2018 to May 2025.
  • All patients received concurrent antitubercular treatment.
  • Procedures included ileal ureter substitution, augmentation cystoplasty, Boari flap, and neobladder reconstruction.

Main Results:

  • Thirteen patients (11 male, 2 female) with a mean age of 42.3 years underwent robotic surgery.
  • Mean console time was 236.5 minutes with an average blood loss of 122.3 ml.
  • Average follow-up was 13.3 months, encompassing various complex reconstructive procedures.

Conclusions:

  • Robotic reconstruction is a feasible and safe option for GUTB, even with significant anatomical distortion and fibrosis.
  • Robotic platforms enable meticulous dissection and accurate anastomosis, leading to improved outcomes.
  • This approach decreases patient morbidity associated with GUTB reconstruction.