Laparoscopic treatment of refluxing segmental megaureter.
نویسندگان
چکیده
We discuss the case of a 13-year old boy with urinary infection who was preoperatively diagnosed with left vesicoureteral reflux associated with paraurethral saccule. Laparoscopic Lich-Gregoir anti-reflux surgery was then proposed. Intraoperatively, we observed segmental megaureter that was successfully treated by the proposed technique without ureteral modeling, contrary to the rule that respects the 3-5 times ratio between the submucous path and the ureteral diameter.
منابع مشابه
Totally laparoscopic repair of primary obstructive megaureter with pyeloplasty, complete excisional tailoring and nonrefluxing ureteral reimplantation.
OBJECTIVE To describe a new surgical technique of the first case of totally laparoscopic repair of primary obstructive congenital megaureter with pyeloplasty, intracorporeal excisional tailoring of the ureter and nonrefluxing ureteroneocystostomy. METHODS A 15-year-old male presented with obstructive megaureter. The standard three-port transperitoneal pyeloplasty technique and an additional 5...
متن کامل[Laparoscopic ureterovesical repair for megaureter treatment].
BACKGROUND An alternative treatment for obstructive and refluxing obstructive megaureter with ureterovesical junction maintenance through laparoscopy is proposed. MATERIAL AND METHODS The series consists of 8 cases, all of them studied because of prenatal hydronephrosis or febrile urinary tract infection. Seven were diagnosed with obstructive megaureter and one with obstructive refluxing mega...
متن کاملTotally laparoscopic ureteroneocystostomy with intracorporeal tailoring for primary obstructive megaureter
Laparoscopic procedures have usually been employed as an alternative to open surgery for the management of several urologic problems. Laparoscopic ureteroneocystostomy is rarely reported despite the description of different techniques. Ramalingam et al. described a 3case series of successful laparoscopic Boari flap ureteral reimplantations. Gao el al. also described a 3-case series of laparosco...
متن کاملPure Laparoscopic and Robot-Assisted Laparoscopic Reconstructive Surgery in Congenital Megaureter: A Single Institution Experience
To report our experience of pure laparoscopic and robot-assisted laparoscopic reconstructive surgery in congenital megaureter, seven patients (one bilateral) with symptomatic congenital megaureter underwent pure laparoscopic or robot-assisted laparoscopic surgery. The megaureter was exposed at the level of the blood vessel and was isolated to the bladder narrow area. Extreme ureter trim and sub...
متن کاملLaparoscopic Nephroureterectomy for Adult Patient with Primary Obstructive Megaureter
A 29-year-old female with a complaint of abdominal distension was referred to our hospital. She had a history of being treated for pyelonephritis three times. By computed tomography and retrograde pyelography, she was diagnosed with adult left primary megaureter. Her left renal function was severely deteriorated. She hoped for surgical intervention before becoming pregnant. Laparoscopic nephrou...
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ورودعنوان ژورنال:
- International braz j urol : official journal of the Brazilian Society of Urology
دوره 31 4 شماره
صفحات -
تاریخ انتشار 2005