V03: 05 Approaches to Robotic Nephropexy

Document Type

Conference Proceeding

Publication Date

9-1-2025

Publication Title

J Endourol

Abstract

Introduction and Objective: Renal ptosis, or nephroptosis, is a rare condition whereby the kidney drops from its normal position when a patient changes positions from supine to standing. Typically, symptomatic patients experience colicky flank pain, tachycardia, hypertension, transient hematuria or proteinuria or vomiting and chills. The condition typically presents in thin female patients and/or patients with connective tissue disorders. In this video, we aimed to discuss approaches to surgical treatment, or nephropexy, of this condition and show examples from a case at our institution. Renal ptosis, or nephroptosis, is a rare condition whereby the kidney drops from its normal position when a patient changes positions from supine to standing. Typically, symptomatic patients experience colicky flank pain, tachycardia, hypertension, transient hematuria or proteinuria or vomiting and chills. The condition typically presents in thin female patients and/or patients with connective tissue disorders. In this video, we aimed to discuss approaches to surgical treatment, or nephropexy, of this condition and show examples from a case at our institution. Methods: We present video footage on two approaches to robotic nephropexy, a transperitoneal Xi approach and a singleport (SP) retroperitoneal (RP) approach. We also demonstrate the use of mesh to help anchor stitches to the psoas muscle. The video discusses the advantages and disadvantages of each approach. Results: Operative time was 127 minutes for the SP RP approach. Both patients were discharged on post-operative day 1 and had no complications. On follow-up, both patients reported alleviation of their symptoms. Conclusions: We present surgical technique of robotic nephropexy both by transperitoneal Xi and SP RP approaches. Both approaches to this procedure are safe and feasible and can offer alleviation of patient symptoms.

Volume

39

Issue

S3

First Page

e314

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