{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T14:01:52Z","timestamp":1779112912810,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,7,4]],"date-time":"2023-07-04T00:00:00Z","timestamp":1688428800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of this study is to assess the aetiology, perioperative outcomes and treatment failure of contemporary patients undergoing open or robot\u2010assisted ureteral reconstruction for iatrogenic injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and methods<\/jats:title><jats:p>We retrospectively analysed consecutive patients who underwent ureteral reconstruction for iatrogenic injuries at two academic centres 07\/2013 and 06\/2022. A variety of open or robot\u2010assisted procedures were performed, including uretero\u2010cystoneostomy, Boari bladder flap, uretero\u2010ureterostomy, ileal replacement and pyelo\u2010ureteroplasty. All procedures were performed by a single surgeon with extensive experience in open and robot\u2010assisted surgery and preference\u2010based management. Outcome measures were aetiology, estimated blood loss, length of stay, postoperative complications and treatment failure, defined as upper tract obstruction requiring permanent urinary drainage. We also planned a subgroup analysis comparing the outcomes between open and robot\u2010assisted procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010nine patients were included. Most injuries were consequent to endourological procedures (44%). The most frequently performed procedures were uretero\u2010cystoneostomy (49.2%) and Boari bladder flap (32.2%). Forty (67.8%) were open, and 19 (32.2%) were robot\u2010assisted procedures. Major postoperative complications were recorded in seven (11.9%) patients. After a median follow\u2010up of 42\u2009months (interquartile range 12\u201324), treatment failure was observed in seven (11.9%) cases. Robot\u2010assisted versus open procedures were associated with decreased estimated blood loss (<jats:italic>p\u2009=<\/jats:italic>\u00a00.01), length of stay (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and treatment failure (0\/19 vs. 7\/36, <jats:italic>p\u2009=<\/jats:italic>\u00a00.04).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In our series of iatrogenic ureteral lesions requiring reconstructive surgery, endourological procedures were the most frequent cause. Major postoperative complications were infrequent, and treatment failure rate was low. The robot\u2010assisted approach was associated with improved perioperative outcomes and lower failure rate compared with open.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bco2.267","type":"journal-article","created":{"date-parts":[[2023,7,4]],"date-time":"2023-07-04T23:19:31Z","timestamp":1688512771000},"page":"673-679","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Outcomes and treatment failure after open or robotic ureteral reconstruction for iatrogenic injuries"],"prefix":"10.1002","volume":"4","author":[{"given":"Marta","family":"Rossanese","sequence":"first","affiliation":[{"name":"Gaetano Barresi Department of Human and Paediatric Pathology, Section of Urology University of Messina  Messina 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