# Pelvic Ectopic Kidney in an Adult: Robotic-Assisted Surgical Treatment of Unrecognized Ureteropelvic Junction Obstruction

## TL;DR

This paper discusses the successful robotic-assisted surgical treatment of a rare kidney condition in an adult.

## Contribution

The paper demonstrates that robotic surgery can be safely used for UPJO in adult pelvic ectopic kidneys.

## Key findings

- Robotic-assisted surgery can be applied to complex adult cases of pelvic ectopic kidney with UPJO.
- There is limited experience with this procedure in adults, but this case shows its feasibility and safety.
- UPJO occurs in about 30% of patients with ectopic kidneys, presenting unique surgical challenges.

## Abstract

Ureteropelvic junction obstruction (UPJO) is observed in approximately 30% of patients with ectopic kidneys. Due to the narrow pelvic space and risk of injuring aberrant structures, an ectopic pelvic kidney with UPJO presents a unique treatment challenge. Most experiences in treating UPJO in pelvic ectopic kidneys using robotic surgical systems are based on the pediatric population. Only a few cases of successful robotic-assisted surgery in adult patients with this condition have been described. This case reports illustrates that the indications for robotic-assisted surgery for UPJO may safely be expanded to include complex adult cases with pelvic ectopic kidney.