Evidence map›Paper›PMID 39801656›Full record

ArticleEuropean urology open science2025

Complex Ureteral Reconstruction via Open or Robotic Ureteroplasty with a Buccal Mucosa Onlay Graft: A Two-center Comparison.

Antonio Andrea Grosso, Fabrizio Di Maida, Daniele Paganelli, Simon Udo Engelmann, Emily Rinderknecht, Christoph Eckl, Sebastian Kälble, Alexey Barskov, Rino Oriti, Sofia Giudici and 5 more

Abstract read
In one paragraph

Article in European urology open science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
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  6. Article
  7. Article
  8. Review
  9. Quality assessment of robotic repair of benign ureteral strictures A Canadian, single-center experience.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026
    Article
  10. Review
  11. Article
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  13. Current Status and Future Perspectives of Robotic-Assisted Redo Pyeloplasty for Recurrent Ureteropelvic Junction Obstruction.International journal of urology : official journal of the Japanese Urological Association · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Antonio Andrea GrossoUnit of Oncologic Minimally Invasive Urology and Andrology, Department of Experimental and Clinical Medicine, Careggi Hospital, University of Florence, Florence, Italy.
Fabrizio Di MaidaUnit of Oncologic Minimally Invasive Urology and Andrology, Department of Experimental and Clinical Medicine, Careggi Hospital, University of Florence, Florence, Italy.
Daniele PaganelliUnit of Oncologic Minimally Invasive Urology and Andrology, Department of Experimental and Clinical Medicine, Careggi Hospital, University of Florence, Florence, Italy.
Simon Udo EngelmannDepartment of Urology, St. Josef Medical Center, University of Regensburg, Regensburg, Germany.
Emily RinderknechtDepartment of Urology, St. Josef Medical Center, University of Regensburg, Regensburg, Germany.
Christoph EcklDepartment of Urology, St. Josef Medical Center, University of Regensburg, Regensburg, Germany.
Sebastian KälbleDepartment of Urology, St. Josef Medical Center, University of Regensburg, Regensburg, Germany.
Alexey BarskovUnit of Oncologic Minimally Invasive Urology and Andrology, Department of Experimental and Clinical Medicine, Careggi Hospital, University of Florence, Florence, Italy.
Rino OritiUnit of Oncologic Minimally Invasive Urology and Andrology, Department of Experimental and Clinical Medicine, Careggi Hospital, University of Florence, Florence, Italy.
Sofia GiudiciUnit of Oncologic Minimally Invasive Urology and Andrology, Department of Experimental and Clinical Medicine, Careggi Hospital, University of Florence, Florence, Italy.
Christoph PicklDepartment of Urology, St. Josef Medical Center, University of Regensburg, Regensburg, Germany.
Maximilian BurgerDepartment of Urology, St. Josef Medical Center, University of Regensburg, Regensburg, Germany.
Andrea MariUnit of Oncologic Minimally Invasive Urology and Andrology, Department of Experimental and Clinical Medicine, Careggi Hospital, University of Florence, Florence, Italy.
Andrea MinerviniUnit of Oncologic Minimally Invasive Urology and Andrology, Department of Experimental and Clinical Medicine, Careggi Hospital, University of Florence, Florence, Italy.
Roman MayrDepartment of Urology, St. Josef Medical Center, University of Regensburg, Regensburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objective: Management of a long proximal ureteral stricture is challenging. Buccal mucosal graft (BMG) ureteroplasty is a reliable technique for ureteral reconstruction that avoids the morbidity of bowel interposition or autotransplantation. We compared open and robotic BMG ureteroplasty in a two-center study. Methods: We compared prospectively recorded data for 26 patients who underwent robotic or open BMG ureteroplasty at two academic institutions. Stricture location and length, previous reconstructive interventions, complications, and success rates were assessed and compared. A descriptive statistical analysis was performed. Key findings and limitations: We compared ten patients in the robotic group and 16 in the open group. Stricture location had similar distributions in the open versus robotic group (pelvic junction, 25% vs 20%; proximal ureter, 56.3% vs 60%; middle ureter, 18.7% vs 20%). Median stricture length was significantly longer in the robotic group (26 vs 17 mm; Conclusions and clinical implications: We observed high success rates and low perioperative morbidity for both open and robotic BMG ureteroplasty. The robotic approach was associated with significantly lower intraoperative blood loss. Patient summary: Narrowing of the ureter, which is the tube draining urine from the kidney into the bladder, may need surgical treatment. For reconstruction of long segments, use of a tissue graft from the inside of the mouth is an effective surgical option. Robot-assisted surgery is as safe as open surgery and is associated with lower blood loss.

Indexed as

Augmented ureteral anastomosisPartial ureter replacementReconstructive surgeryRobotics

Identifiers

PMID39801656
PMCPMC11722170

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.