Robotic urologic reconstruction: preservation of open principles and expansion of possibilities

Authors

  • Wattanachai Ratanapornsompong Division of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
  • Sutthirat Sarawong Division of Urology, Department of Surgery, Police General Hospital, Bangkok, Thailand
  • Lee C. Zhao NYU Langone Health Department of Urology, New York, NY, USA

DOI:

https://doi.org/10.52786/isu.a.115

Keywords:

Robotic surgery, urologic reconstruction, single-port robot

Abstract

Robotic surgery has transformed the carrying out of many urological subspecialties, but its greatest potential may lie in complex reconstruction. Traditional open surgery remains the foundation for urethral and ureteral reconstruction, where tactile feedback and vascular preservation are paramount. However, robotic technology now enables these same principles to be applied with magnified precision, stable visualization, and access to planes once unreachable by hand. This review summarizes how robotic systems offer new dimensions in reconstructive urology from retroperitoneal access to fluorescence-guided dissection, and discusses their applications in ureteral, bladder neck, and gender-affirming surgeries.

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Published

2025-12-31

How to Cite

Ratanapornsompong, W., Sarawong, S., & Zhao, L. C. (2025). Robotic urologic reconstruction: preservation of open principles and expansion of possibilities. Insight Urology, 46(2), 125–9. https://doi.org/10.52786/isu.a.115

Issue

Section

Review article