Preoperative Predictors of Surgical Success for Robotic Ureteral Reconstruction of Proximal and Middle Ureteral Strictures Studied at Hackensack University Medical Center

Results published in Urology show preoperative ureteral rest and diabetes can influence outcomes

Hackensack University Medical Center contributed to a multicenter study to investigate predictors of surgical success for patients undergoing robotic ureteral reconstruction (RUR) for ureteropelvic junction obstruction (UPJO), proximal and middle ureteral stricture disease, with results published in Urology.

The research team conducted a retrospective review of the multi-institutional Collaborative of Reconstructive Robotic Ureteral Surgery database to identify all consecutive patients undergoing RUR for UPJO, proximal and/or middle ureteral stricture disease over an 8-year span.

In the identified 338 cases, there was a lower proportion of patients with diabetes (and a higher proportion of patients who underwent ureteral rest in the surgical success group). Further analysis revealed the odds of surgical success in patients without diabetes was three times the odds of success for patients with diabetes. The odds of surgical success in patients who underwent preoperative ureteral rest were 2.8 times the odds of success for patients who did not experience preoperative ureteral rest.

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