Evidence map›Paper›PMID 42363960›Full record

ArticleWorld journal of urology2026

Robotic buccal mucosal graft ureteroplasty: a contemporary multi-institutional experience.

Dhruv Puri, Anh T Nguyen, Kian Ahmadieh, David Canes, Shawn Grove, Sean P Elliott, Sunchin Kim, Benjamin McCormick, Jeremy B Myers, Ali Moinzadeh and 5 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in World journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Dhruv PuriUC San Diego Health, La Jolla, CA, USA.
Anh T NguyenUC San Diego Health, La Jolla, CA, USA.
Kian AhmadiehUC San Diego Health, La Jolla, CA, USA.
David CanesLahey Hospital and Medical Center, Burlington, MA, USA.
Shawn GroveUniversity of Minnesota, Minneapolis, MN, USA.
Sean P ElliottUniversity of Minnesota, Minneapolis, MN, USA.
Sunchin KimThe University of Arizona College of Medicine, Tuscon, AZ, USA.
Benjamin McCormickUniversity of Utah, Salt Lake City, UT, USA.
Jeremy B MyersUniversity of Utah, Salt Lake City, UT, USA.
Ali MoinzadehLahey Hospital and Medical Center, Burlington, MA, USA.
Joseph J PariserUniversity of Minnesota, Minneapolis, MN, USA.
Brian W ChaoUniversity of Minnesota, Minneapolis, MN, USA.
Anna SaltmanLahey Hospital and Medical Center, Burlington, MA, USA.
Alex J VanniLahey Hospital and Medical Center, Burlington, MA, USA.
Jill C BuckleyUC San Diego Health, La Jolla, CA, USA. jcbuckley@health.ucsd.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of our study was to evaluate and describe our multi-institutional experience with buccal mucosal graft (BMG) ureteroplasty for complex ureteral strictures. The primary outcomes analyzed were the need for re-intervention or revision surgery and the change in hydronephrosis of the affected renal unit. MATERIALS AND

methodsAll patients who underwent buccal mucosal graft-onlay ureteral reconstruction and had post-surgical follow-up including upper tract imaging at five tertiary care centers were retrospectively reviewed for a 4-year period. Patient demographics, perioperative metrics, and postoperative clinical outcomes were analyzed.

results40 patients (23 female, 17 male; mean age 50.2 years) had upper urinary tract reconstruction with BMG. 55% had prior abdominal/pelvic surgery, and 17.5% had prior radiation therapy. Median follow-up was 12.2 months. The mean stricture length was 3.35 cm, predominantly located within the proximal ureter (47.5%) and left-sided (67.5%). Preoperative drainage was required in 50% of patients, 12 with a percutaneous nephrostomy tube (30%) and 8 with a ureteral stent (20%). Mean graft length was 4.47 cm, with an mean operative time of 271 min. The 30-day complication rate was 22.5%. Mean preoperative and postoperative hydronephrosis grades (SFU) improved significantly from 2.82 to 1.03 (p = 0.001). Surgical success, defined by improved imaging and absence of additional interventions, was achieved in 95% of cases.

conclusionRobotic assisted buccal mucosal ureteroplasty is an effective minimally invasive technique for treating complex ureteral strictures. Patients who were previously nephrostomy tube or ureteral stent dependent have restored physiologic upper tract drainage, experience a significant decrease in hydronephrosis and avoid the need for future surgery or intervention.

Indexed as

Mouth MucosaRobotic Surgical ProceduresUreterUreteral ObstructionAdultAgedConstriction, PathologicFemaleHumansHydronephrosisMaleMiddle AgedPlastic Surgery ProceduresRetrospective StudiesTreatment OutcomeUrologic Surgical ProceduresBuccal mucosal graftBuccal ureteroplastyRobot-assisted ureteroplastyUreteral injuryUreteral strictureUreteral stricture disease

Identifiers

PMID42363960

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.