Laparoscopy for definite localization and simultaneous treatment of ectopic ureter draining a dysplastic kidney in children.

Abstract:

BACKGROUND AND PURPOSE:Single-system ectopic ureter draining a dysplastic kidney is a rare urologic abnormality. In this study, we evaluated our own experience using laparoscopy for the simultaneous identification and removal of such ureterorenal units. PATIENTS AND METHODS:Between February 1999 and August 2001, four girls with a mean age of 11 years presented with urinary incontinence. After imaging studies including CT scan, MRI, or both were done, all the patients underwent laparoscopy for definitive localization and simultaneous treatment. RESULTS:In all cases, ultrasonography and intravenous urography combined to reveal a single normal kidney. Even the CT scan could not identify the dysplastic kidney or ectopic ureter in three children. Laparoscopy was performed transperitoneally in all four patients, and a small dysplastic kidney was identified. Discovery of the kidney was not difficult because we initially identified the ureter crossing over the iliac vessels. Laparoscopic nephroureterectomy was successful in all patients with a mean operative time of 102 minutes. There was no significant intraoperative or postoperative complication, and the mean postoperative hospital stay was 2.5 days. All patients have remained completely dry without any problems after surgery. CONCLUSIONS:For patients having a clinical suspicion of ectopic ureter draining a dysplastic kidney, laparoscopy may represent an alternative modality for simultaneous diagnosis and treatment.

journal_name

J Endourol

journal_title

Journal of endourology

authors

Kim HH,Kang J,Kwak C,Byun SS,Oh SJ,Choi H

doi

10.1089/089277902760261392

subject

Has Abstract

pub_date

2002-08-01 00:00:00

pages

363-6

issue

6

eissn

0892-7790

issn

1557-900X

journal_volume

16

pub_type

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