Laparoscopic ureteropyeloanastomosis in the treatment of duplex system
Int. braz. j. urol
;
38(2): 235-241, Mar.-Apr. 2012. ilus, tab
Article
in English
| LILACS
| ID: lil-623338
ABSTRACT
PURPOSE:
Duplex system is one of the most common anomalies of upper urinary tract. Anatomical and clinical presentation determine its treatment. Usually, the upper moiety has a poor function and requires resection, but when it is not significantly impaired, preservation is recommended. Laparoscopic reconstruction with upper pole preservation is presented as an alternative treatment. MATERIALS ANDMETHODS:
Four female patients with duplex system, one presenting with recurrent urinary tract infection and the others with urinary incontinence associated to infrasphincteric ectopic ureter, were treated. Surgical procedure envolved a laparoscopic ureteropyeloanastomosis of the upper pole ureter to the pelvis of the lower moiety, with prior insertion of a double J stent.RESULTS:
Surgical time varied from 120 to 150 minutes, with minimal blood loss in all cases. Follow-up varied from 15 to 30 months, with resolution of the clinical symptoms and preservation of the upper moiety function.CONCLUSION:
Laparoscopic ureteropyeloanatomosis is a feasible and safe minimally invasive option in the treatment of duplex system.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Ureter
/
Urinary Tract
/
Laparoscopy
/
Kidney
Limits:
Adolescent
/
Child
/
Female
/
Humans
Language:
English
Journal:
Int. braz. j. urol
Journal subject:
Urology
Year:
2012
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
University of Sao Paulo/BR
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