---
title: "AINU performs Vizag's first robotic Boari flap reconstruction"
url: https://projectchintan.com/article/vizag-first-robotic-boari-flap-aypym
publisher: Project Chintan
author: Project Chintan Newsroom
section: Health
published: 2026-08-19T15:32:27.138Z
modified: 2026-08-19T18:00:05.356Z
language: en-IN
---

# AINU performs Vizag's first robotic Boari flap reconstruction

Visakhapatnam's Asian Institute of Nephrology & Urology conducts the city’s first robotic Boari flap reconstruction to treat a long-segment ureteric stricture in a 50-year-old woman. The patient recovered quickly after a minimally invasive surgery that removed a ureteric stone and relieved obstructi

## Key takeaways

- AINU conducted Vizag's first robotic Boari flap reconstruction to treat a long-segment ureteric stricture.
- The patient, a 50-year-old woman from Kakinada, recovered quickly after a minimally invasive robotic procedure.
- Preoperative PCN drainage and stone removal were followed by robotic reconstruction due to the extent of ureteric damage.

## What Happened

The Asian Institute of Nephrology & Urology (AINU) in Visakhapatnam carried out Vizag’s first robotic Boari flap reconstruction. The procedure aimed to treat a long-segment ureteric stricture in a 50-year-old woman who lives in Kakinada and had urinary obstruction and infection attributed to the stricture after a ureteric stone.

Before surgery, doctors placed a percutaneous nephrostomy (PCN) tube to relieve obstruction, and the stone was removed. Despite this, recurrent infections persisted due to the extensive ureteric narrowing, which left the patient dependent on external drainage. The surgical team chose a robotic reconstructive approach to restore normal urinary flow and protect kidney function. AINU’s urology team noted the narrowing extended near major pelvic vessels, making some traditional procedures unsuitable. The operation used a robotic, minimally invasive method with a flap taken from the urinary bladder (Boari flap) to reconstruct the damaged ureter. The procedure involved only a few small incisions, and the team reported minimal blood loss and reduced postoperative pain with faster recovery.

The patient recovered well, had the kidney tube removed before discharge, and was released within three days of the operation. The report cites Dr. Amit Saple, a Senior Consultant Urologist, Transplant, Laparoscopic and Robotic Surgeon, describing the case as highly complex and noting the precision advantages of robotic technology.

## Why It Matters

The surgery demonstrates the application of robotic techniques to a challenging ureteric reconstruction, potentially offering quicker recovery and preserving kidney function in a case that involved a long ureteric segment near pelvic vessels. The successful outcome highlights the feasibility of robotic Boari flap reconstruction for complex ureteric problems in Vizag.

## Background

The patient initially presented with a ureteric stone and a long-segment ureteric stricture leading to obstruction and infection. After stabilization with a PCN tube, stone removal occurred, but the persistent stricture necessitated a reconstructive approach. The team determined that conventional procedures were unsuitable given the defect’s extent and location, opting for a robotic Boari flap reconstruction performed through minimal incisions.

## Key Facts

- Location: Visakhapatnam, India
- Institution: Asian Institute of Nephrology & Urology (AINU)
- Subject: 50-year-old woman with long-segment ureteric stricture and prior ureteric stone
- Preoperative management: percutaneous nephrostomy tube placed to relieve obstruction
- Surgical approach: robotic Boari flap reconstruction using a urinary bladder flap
- Intraoperative finding: ureteric defect more extensive than anticipated
- Recovery: discharged within three days after surgery
- Outcome: improved urinary flow and preservation of kidney function reported
- Key quote: Robotic technology allowed precise reconstruction with reduced trauma

## What Happens Next

The source does not specify any scheduled follow-up or future steps beyond discharge. No additional dates or planned procedures are described in the report.

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Canonical: https://projectchintan.com/article/vizag-first-robotic-boari-flap-aypym
Reported from: Multiple Sources