Robotic Ureteral Reimplantation Into Bladder for Ureteral Stricture | Urological Clinic of TUM University Hospital Rechts der Isar

Robotic-assisted ureteral reimplantation into the bladder (ureteroneocystostomy) is a reconstructive procedure used when a ureteral stricture, most often in the lower ureter, blocks urine drainage and threatens kidney function. The goal is to bypass the narrowed segment by reconnecting the healthy ureter to a new opening in the bladder, restoring reliable urine flow and reducing the risk of recurrent infection, pain, and progressive hydronephrosis. At the Urological Clinic of TUM University Hospital Rechts der Isar, this type of ureteral stricture correction is included within the department’s robotic (da Vinci) surgical portfolio, reflecting its focus on minimally invasive reconstructive urology alongside complex oncologic surgery. The robotic approach is used to improve precision in confined anatomy while aiming to reduce the typical burdens of open surgery and support faster functional recovery in appropriately selected patients. The clinical path typically starts with a specialist review of prior diagnostics and targeted imaging to define the stricture’s location and length and to plan the reconstruction. During surgery, the stricture segment is addressed, and the ureter is reimplanted into the bladder under robotic visualization; postoperative management commonly includes temporary internal drainage (a ureteral stent) and bladder drainage to protect the repair while tissues heal, followed by follow-up assessments to confirm unobstructed drainage and stable kidney function.