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Open redo pyeloplasty has traditionally been the gold standard; however, it is associated with considerable morbidity. Minimally invasive options such as endopyelotomy and laparoscopic pyeloplasty offer faster recovery but have lower success rates and greater technical complexity. In this review, we aimed to provide a comprehensive evaluation of the current literature on robot\u2010assisted surgical management of recurrent ureteropelvic junction obstruction. Robot\u2010assisted laparoscopic pyeloplasty has emerged as a promising alternative, providing enhanced visualization, improved dexterity, and precise suturing, even in reoperative cases. Redo robot\u2010assisted laparoscopic pyeloplasty achieves high success rates (75%\u2013100%) with low complication rates and shorter hospital stays compared with open or conventional laparoscopic approaches. Moreover, advanced robotic techniques\u2014including ureterocalicostomy, buccal mucosa graft ureteroplasty, ileal ureter replacement, and renal autotransplantation\u2014have broadened reconstructive options for complex or recurrent cases. Single\u2010port robotic platforms are also gaining interest for their potential to reduce invasiveness and improve cosmetic outcomes. Despite favorable outcomes, existing evidence is primarily limited to retrospective, single\u2010institution studies. Further prospective, multicenter research is needed to validate long\u2010term efficacy and cost\u2010effectiveness. Surgeon expertise, careful patient selection, and adherence to standardized protocols remain essential for optimizing outcomes. As robotic technology continues to evolve, robotic redo pyeloplasty and it's adjunct procedures are increasingly considered preferred treatment modalities for recurrent or anatomically complex ureteropelvic junction obstruction.<\/jats:p>","DOI":"10.1111\/iju.70233","type":"journal-article","created":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T11:06:16Z","timestamp":1758020776000},"page":"1750-1761","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Current Status and Future Perspectives of Robotic\u2010Assisted Redo Pyeloplasty for Recurrent Ureteropelvic Junction Obstruction"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2966-6476","authenticated-orcid":false,"given":"Daisuke","family":"Ishii","sequence":"first","affiliation":[{"name":"Department of Urology Kitasato University School of Medicine  Sagamihara Kanagawa 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