ArticleCureus2025
A Novel Technique of Robotic Buccal Mucosal Graft Ureteroplasty for Proximal Ureteric Strictures by Non-transecting Mucosa-to-Mucosa Anastomosis.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Oral mucosa graft ureteroplasty: defining its role in complex ureteral reconstruction.Current opinion in urology · 2026Review
- From cheek to ureter: initial experience and learning curve of single-port robotic buccal mucosa graft ureteroplasty for complex strictures.Journal of robotic surgery · 2026Article
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Authors and funding
5 authors.
Funding
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Abstract
Buccal mucosal graft (BMG) ureteroplasty is a well-established technique for complex upper ureteric strictures, particularly with robotic assistance. However, limited guidance exists for cases involving a narrow ureteral plate. We present a novel technique employing a non-transecting mucosa-to-mucosa anastomosis at the stricture site, followed by BMG augmentation. This method adapts the principles of non-transecting urethroplasty (mucosal-sparing augmented non-transected anastomotic (MsANTA)) to the ureter, aiming to preserve vascularity. Patients underwent preoperative CT urography and intraoperative retrograde studies to delineate the stricture. After harvesting the buccal graft and identifying the narrow ureteral plate, mucosal approximation without transection was performed to widen the lumen, followed by watertight graft anastomosis. This vascular-preserving modification may reduce stricture recurrence. Further comparative studies are warranted to validate its efficacy.
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