Reconstructive Surgery of Urinary Tract

A number of conditions can cause problems resulting in blockage or abnormal drainage of the kidneys, ureters and bladder. Dr Simmons has expertise in both open and robotic surgery for these conditions. He trained with pioneers in this subspecialty while at the Cleveland Clinic and has conducted over 100 minimally-invasive and reconstructive surgeries. His outcomes and techniques have been published.

Surgeries perfomed include:

  • Robotic Pyeloplasty
  • Robotic Ureteral Reconstruction
  • Robotic Ureteral Reimplant and Boari Flap Reimplant
  • Robotis Ileal Ureter
  • Robotic bladder Diverticulectomy

The kidneys produce urine that flows into the main funnel of the kidney (the renal pelvis), down the ureters, into the bladder and out through the urethra. Any disease that results in blockage of urine flow can lead to major health issues including stones, renal failure and infection. Urologic reconstructive surgery involves surgery of the kidney, ureter or bladder to restore normal flow and emptying of urine.

In most cases reconstructive surgery can be conducted using a robotic approach. This allows for complex reconstructive cases to be done through small “keyhole” incisions as opposed to a large flank or midline incision. Use of robotic technique allows for decreased pain, improved cosmetic effects, and faster recovery. Dr. Simmons has extensive experience with both open and robotic reconstructive surgeries including robotic ureteral reconstruction, dismembered pyeloplasty, ileal ureter formation, ureteral reimplant, robotic Boari flap reimplants and bladder diverticulectomy.

 

 

 

 

 

 

References:

Laparoscopic ureteral reconstruction for benign stricture disease

MN Simmons, IS Gill, AF Fergany, JH Kaouk, MM Desai

Urology 69 (2), 280-284

 

Technical modifications to laparoscopic Boari flap

MN Simmons, IS Gill, AF Fergany, JH Kaouk, MM Desai

Urology 69 (1), 175-180

 

Development and validation of a ureteral anastomosis simulation model for surgical

training

E Tunitsky, A Murphy, MD Barber, M Simmons, JE Jelovsek

Female pelvic medicine & reconstructive surgery 19 (6), 346-351