Transperitoneal radical prostatectomy
Indications and contraindications Prostate cancer is risk stratified on the basis of prostate-specific antigen (PSA), tumor grade, and clinical stage. Very low-risk disease is defined as a PSA level level…
Laparoscopic and robotic boari flap ureteral reimplantation
Reconstructive management of the ureter is a challenging procedure and represents an evolving field in urology, especially in minimally invasive techniques. Treatment of ureteral defects, such as ureteral stricture, fistula,…
Laparoscopic and robotic-assisted laparoscopic pelvic lymph node dissection
Laparoscopic pelvic lymph node dissection (LPLND) was first described in 1991 and has since evolved from both a medical and a technical standpoint, particularly with the introduction of the robotic…
Robotic adrenalectomy
Robotic adrenalectomy, a progression from laparoscopic adrenalectomy, has become increasingly popular since its initial report in 2002. This chapter describes contemporary indications, techniques, and perioperative management for robotic adrenalectomy. Anatomy…
Laparoscopic live donor nephrectomy
Indications and contraindications Donor nephrectomy is unique among surgeries performed in urology. Unlike most procedures offered to patients, there are no discrete medical indications—it is elective in the truest sense…
Laparoscopic appendiceal onlay flap and bowel reconfiguration for complex ureteral stricture reconstruction
Introduction A variety of pathologic conditions may result in ureteral stricture disease. These include urolithiasis, genitourinary infection, retroperitoneal fibrosis, radiation therapy, external trauma, and iatrogenic injury. Strictures below the pelvic…
Pyelolithotomy, ureterolithotomy, and anatrophic nephrolithotomy
Indications With the use of shockwave lithotripsy (SWL) and advances in endoscopic technology and instrumentation, open surgery, once the mainstay treatment of ureteral stones, is now uncommon. Laparoscopic or robotic-assisted…
Laparoscopic and robotic-assisted ureteral reimplantation
Indications and contraindications Ureteral reimplantation is utilized in cases of ureteral obstruction of the distal ureter. Ureteral obstruction may be due to inflammatory, infectious, iatrogenic, or traumatic causes, as well…
Partial nephrectomy
Introduction The incidence of renal cell carcinoma (RCC) has increased by 1.5% per year over the last decade and remains a primarily surgical disease. Nephron-sparing surgery for RCC was developed…
Laparoscopic and robot-assisted pyeloplasty
Introduction The first laparoscopic pyeloplasty was performed in 1993. A subsequent series of the first 100 cases by the same surgeon demonstrated a success rate of 96%, which is comparable…
