ArticleWorld journal of urology2026
Navigating the irradiated ureter: multi-institutional outcomes of robotic ureteral reconstruction for radiation-induced strictures.
Article in World journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgical management of radiation-induced ureteral strictures may be difficult due to dense peri-ureteral scarring, impaired vascularity, and limited tissue mobility in the irradiated field. We demonstrate outcomes of robotic ureteral reconstruction for management of radiation-induced ureteral strictures.
methodsWe retrospectively reviewed our multi-institutional Collaborative of Reconstructive Robotic Ureteral Surgery (CORRUS) database to identify all consecutive patients undergoing robotic ureteral reconstruction for surgical management of radiation-induced ureteral strictures between 2018 and 2024. Indications for surgery included patients with strictures secondary to pelvic radiation with associated flank pain, recurrent urinary tract infections and/or decreasing renal function on renal scan. Patients who had prior failed intervention for ureteral stricture disease were included in this cohort. Surgical success was defined as the absence of further intervention required for recurrent stricture disease.
resultsOverall, 42 patients were included in the analysis. Strictures were located in the middle ureter, distal ureter, and pan-ureteral in 3 (7.1%) patients, 33 (78.6%) patients, and 6 (14.3%) patients, respectively. Reconstructive techniques included traditional transecting reimplantation (31.0%), side-to-side reimplantation (35.7%), appendiceal ureteroplasty (11.9%), buccal mucosa graft ureteroplasty (7.1%), and ileal ureter interposition (14.3%). A Boari flap with psoas hitch (11.9%) or psoas hitch (26.2%) was performed in certain cases to help facilitate a tension-free anastomosis. Intravenous or intraureteral indocyanine green under near-infrared fluorescence was utilized in most cases (57.1%). There were three (7.1%) major (Clavien > 2) postoperative complications. At a median follow-up of 18.1 (IQR 3.0-25.5) months, 37 (88.1%) patients were surgically successful.
conclusionRobotic ureteral reconstruction techniques may be safe and effective in the management of patients with ureteral strictures secondary to pelvic radiation.
Indexed as
Identifiers
42776210What OpenQuestion holds
Registered trials
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.