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PURPOSE To evaluate the onlay technique using the appendix for ureteric reconstruction and describe the initial experience of nine operations performed by one surgeon. METHODS Nine patients with complex ureteral strictures who underwent appendiceal onlay flap ureteroplasty since May 2019 were recruited from our RECUTTER date base. There were seven men and two women, with a mean age of 38.9 years; four patients underwent robot-assisted laparoscopic surgery, and five patients underwent traditional laparoscopic surgery. All patients had ia