In a major surgical achievement, specialists at Medicover Hospitals successfully performed a rare and complex robot-assisted reconstructive urological surgery on a 20-year-old man who had sustained a severe gunshot injury to his lower abdomen, resulting in damage to both ureters and the bladder. The patient arrived with nephrostomy tubes attached to both kidneys for urine drainage, following an emergency surgery performed abroad. 

On detailed evaluation, advanced scans revealed complete obstruction of both ureters — near the kidney on the right side and in the mid-section on the left. Fortunately, both kidneys remained healthy and functional.To restore the normal urinary pathway, the team led by Dr. A.V. Ravikumar, senior urologist & andrologist performed a robot-assisted bilateral ureteral reconstruction using an intestinal segment. About 25 cm of intestine was delicately separated and repurposed to replace the damaged ureters. 

The segment was then precisely connected between the kidneys and bladder using advanced robotic instruments, ensuring a seamless passage for urine flow. Temporary internal stents were placed to aid healing and stabilization. Dr. A.V. Ravikumar said that it was a rare and technically demanding surgery. He mentioned that robotic technology enabled superior accuracy, reduced blood loss and trauma. The patient has now regained normal urinary function and no longer requires external drainage tubes. 

The entire procedure was performed through keyhole incisions without opening the abdomen, showcasing the advantages of robotic surgery in complex reconstructive urology. The patient recovered well and is now leading a normal, independent life. The case highlights how modern robotic technology can restore organ function, preserve kidneys, and offer new hope even in life-threatening trauma cases such as gunshot injuries.