Laparoscopic Uretero-Neocystostomy, Initial Experience

Objective: To assess the feasibility and outcome of laparoscopic ureteral reimplantation. Material and Methods: Five laparoscopic ureteral reimplantations were performed between June 2011 and December 2012 for ureteral strictures. The mean age was 45 years three patients had unilateral lower ureteric stricture, 2 patients had bilateral lower ureteric strictures. The etiology of stricture formation was bilharziasis in 2 patients, previous ureteroscopy in 2 patients, and unknown in 1 patient. 3 patients underwent laparoscopic ureteral reimplantation, 2 patients underwent modified Lich-Gregoir on the right side and simple anastomosis on the left side. Results: Mean operative time for all patients was 157 minutes (range 45-350). Post-operative stay was 2-3 days. Postoperative radiological imaging showed hydronephrosis in 1 patient at a follow-up interval of 6 months. Conclusions: Laparoscopic ureteral reimplantation is a feasible procedure with good medium-term results. We believe that this procedure will become an established treatment option.