Laparoscopic partial nephroureterectomy for duplex kidney and ureter with megaureter serving a hydronephrotic excluded upper pole: A case report

• Type: Article in International Scientific Journal
• Date: 2008

Authors

Botelho, F (Author) Other; Silva, P (Author) Other; Tomada, N (Author) Other; Sousa, T (Author) Other; Francisco Cruz (Author) FMUP

Journal

Title: UroToday International Journal

Vol. 1

ISSN: 1939-4810

Publisher: UroToday Inc.

Indexing

Scopus - 1 Citation

Other information

Authenticus ID: P-008-1ZY

DOI: 10.3834/uij.1939-4810.2008.10.02

Abstract (EN): Introduction: Complete duplication of the collecting system is one of the most common congenital urologic anomalies that should be oriented with nephroureterectomy when symptomatic with urinary tract infection or flank pain. Until recently, nephroureterectomy involved a flank incision with significant morbidity and prolonged recovery time. In the last few years, there have been a few reports of partial nephroureterectomy, particularly in the pediatric population. Case Presentation: A 25-year-old woman presented to our consult with a history of recurrent right pyelonephritis and a right duplicated kidney and ureter associated with atrophy of the hydronephrotic upper-pole and dilation of the entire respective ureter. Voiding Cystourethrography showed no vesicoureteral reflux. She elected to undergo laparoscopic transperitoneal upper-pole nephroureterectomy. There were no postoperative complications, and the cosmetic result was excellent. Conclusion: To our knowledge this is one of the few reports of laparoscopic partial nephroureterectomy done in adults. This seems to be a safe and effective technique to be performed in adults, with admirable cosmetic and functional results.

Language: English

Type (Professor's evaluation): Scientific