Laparoscopic ureteropyeloanastomosis in the treatment of duplex system
Int. braz. j. urol
;
38(2): 235-241, Mar.-Apr. 2012. ilus, tab
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Ureter
/
Sistema Urinário
/
Laparoscopia
/
Rim
Limite:
Adolescente
/
Criança
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Int. braz. j. urol
Assunto da revista:
Urologia
Ano de publicação:
2012
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
University of Sao Paulo/BR
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