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Östling folds are considered to be normal variants of ureteral growth at a quicker rate than body lengthening and, therefore, have been reported to be of no clinical significance. We report a robotic correction of the first documented cases of Östling folds causing a persistent ureteroplevic junction obstruction in children.
The use of minimally invasive techniques to manage an ureteropelvic junction obstruction (UPJO) has been well described. In this case report, we describe the management of an UPJO and a large renal vein varix discovered at the time of robotic pyeloplasty. The control and precision of robotic assistance was key to the effective management of this intra-operative finding.
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