Is robot-assisted laparoscopic bilateral extravesical ureteral reimplantation associated with greater morbidity than unilateral surgery? A comparative analysis

Robot-assisted laparoscopic bilateral extravesical ureteral reimplantation is not associated with an increased risk of postoperative morbidity compared with unilateral surgery.Table. Summary of important pre-operative variables and post-operative outcomes.Unilateral (N = 57)Bilateral (N = 35)p-valueAge, years, median (25th and 75th IQR)4 (2, 6)3.75 (2, 5)0.86VUG grade median (25th and 75th IQR)3 (2, 4)3 (2, 3)0.55Toilet-trained children, N (%)34 (59.6%)21 (60%)0.9Preoperative voiding dysfunction, N (%)13 (22.8%)8 (22.9%)0.99Postoperative voiding dysfunction, new, N (%)7 (12.3%)5 (14.3%)0.32Voiding dysfunction resolved after surgery, N (%)3 (5.2%)4 (11.4%)0.09Postoperative febrile UTI and +ve VCUG, N (%) “Clinical and radiological failure = Surgical failure”5/57 (8.7%)3/35 (8.6%)0.98