Presented by: Jennifer L Nguyen BS
Department of Urology, Hackensack University Medical Center

Introduction

 To compare the perioperative and postoperative outcomes of reduction and non reduction dismembered robotic pyeloplasty.

Materials

We performed a retrospective and prospective review of our genitourinary reconstructive database for all patients who underwent robotic pyeloplasty from 2019 to 2022 at a single institution. Patient demographics, intraoperative data, and postoperative outcomes were collected and analyzed. Continuous data was analyzed using the Wilcoxon Rank Sum test. Categorical data was analyzed using Chi-Squared and Fisher's Exact Tests where appropriate.

Results

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In total, 21 (38.5%) and 24 (61.5%) patients underwent Non-reduction and reduction robotic pyeloplasty, respectively. There were no statistical difference in age, sex, BMI and other demographic values. In terms of the perioperative outcomes, there were no significant differences in operating time (p=0.172), estimated blood loss (p=0.491), and 30 day post op major complications (p=0.467). At a median follow-up of 18.5 and 24.5 weeks, there was no difference in documented failure rates between non-reduction and reduction pyeloplasty groups (p = 1.00).

Conclusion

 We demonstrated similar perioperative and postoperative outcomes between reduction and non-reduction dismembered robotic pyeloplasty groups. 

Funding

No funding was received for this article

Co-Authors

Teona Iarajuli, MD
Hackensack Meridian School of Medicine

Allison Brown,
Hackensack Meridian School of Medicine

Nicholas Campo,
Hackensack Meridian School of Medicine

Sreya Das,
Hackensack Meridian School of Medicine

Ruchir Chaturvedi,
Hackensack Meridian School of Medicine

Simon Gelman,
Department of Urology, Hackensack University Medical Center

Ruth Sanchez De La Rosa, MHA
Department of Urology, Hackensack University Medical Center

Ravi Munver, MD
Department of Urology, Hackensack University Medical Center

Mutahar Ahmed, MD
Department of Urology, Hackensack University Medical Center

Michael Stifelman, MD
Department of Urology, Hackensack University Medical Center