A Novel Technique of Robotic Buccal Mucosal Graft Ureteroplasty for Proximal Ureteric Stricture by Non-Transecting Mucosa to Mucosa Anastomosis

Introduction: Buccal mucosal graft (BMG) Ureteroplasty has emerged as a viable option for managing complex upper ureteric strictures with robotic-assisted minimally invasive surgery. Though this method is elaborated in literature, it doesn’t address steps necessary when a narrow ureteral plate is encountered. Our novel technique describes a non-transecting approach of mucosa to mucosa at the strictured site and augmentation with buccal mucosa, following the principles of non-transecting urethroplasty in preserving maximal vascularity to the ureter.