PMID: 22555029May 5, 2012Paper

Laparoscopic ureteropyeloanastomosis in the treatment of duplex system

International Braz J Urol : Official Journal of the Brazilian Society of Urology
Marcelo HisanoMiguel Srougi

Abstract

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. 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. 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. Laparoscopic ureteropyeloanatomosis is a feasible and safe minimally invasive option in the treatment of duplex system.

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Citations

Oct 15, 2014·Fetal and Pediatric Pathology·Maria M Rodriguez
Dec 22, 2012·Expert Opinion on Therapeutic Targets·Tian TianDaoxin Ma
Mar 23, 2013·Scandinavian Journal of Gastroenterology·Borna ReljaMark Lehnert
May 7, 2013·Expert Opinion on Pharmacotherapy·Frank StrittmatterPetter Hedlund
Sep 17, 2014·Critical Reviews in Food Science and Nutrition·Arantxa Rodriguez-Casado
Mar 8, 2013·Future Medicinal Chemistry·Derry K Mercer, Deborah A O'Neil

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