Ureteropelvic junction obstruction does not spare even the ectopic kidney

Robotic pyeloplasty for ureteropelvic junction obstruction is widely being done, but for anomalous kidneys, it is a bit challenging due to abnormal anatomy. The ectopic kidney lies outside renal fossa so the operative challenges it poses are a malrotation kidney, associated vascular anomalies, and short ureter complicating not only access but also the reconstruction. We present a case of right ectopic kidney with gross hydronephrosis due to pelvic ureteric junction obstruction. We further discuss the surgical challenges faced during its management and further outcome.