Laparoscopic upper pole heminephrectomy for ectopic ureter: initial experience

David S Wang; Vincent G Bird; Christopher S Cooper; J Christopher Austin; Howard N Winfield

Back

Laparoscopic upper pole heminephrectomy for ectopic ureter: initial experience

Journal article

Peer reviewed

Laparoscopic upper pole heminephrectomy for ectopic ureter: initial experience

David S Wang, Vincent G Bird, Christopher S Cooper, J Christopher Austin and Howard N Winfield

Canadian journal of urology, Vol.11(1), pp.2141-2145

02/2004

PMID: 15003155

View Online

Abstract

To determine the feasibility, clinical outcomes, and complications of laparoscopic upper pole heminephrectomy for ectopic ureter. The standard treatment for a duplex kidney with a poorly functioning upper pole moiety is an upper pole heminephrectomy. We review our technique and experience with laparoscopic upper pole heminephrectomy. A brief review of the literature is provided. A retrospective review of clinical records from three patients who underwent laparoscopic upper pole heminephrectomy was performed. Two of the three patients presented with lifelong urinary incontinence and were diagnosed with an ectopic ureter associated with a poorly functioning upper pole moiety. The third patient presented with recurrent episodes of pyelonephritis and was found to have a duplex kidney with a poorly functioning upper pole segment draining into a ureterocele. All three patients underwent laparoscopic upper pole heminephrectomy through the transperitoneal approach. Mean operative time, including ureteral stent insertion, was 198 minutes. Two of the three patients were discharged within 24 hours of surgery. The third patient had a urinary leak secondary to a small amount of residual upper pole parenchyma which resolved with superselective renal arterial embolization. All three patients are well at 5.3 months follow-up. Laparoscopic upper pole heminephrectomy for ectopic ureter is safe and reproducible and offers the patient the typical postoperative benefits of laparoscopic surgery.

Adolescent

Adult

Child, Preschool

Choristoma - surgery

Female

Humans

Kidney Diseases - surgery

Laparoscopy - methods

Nephrectomy - methods

Retrospective Studies

Treatment Outcome

Ureter

Details

Title: Subtitle: Laparoscopic upper pole heminephrectomy for ectopic ureter: initial experience
Creators: David S Wang - Department of Urology, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA
Vincent G Bird
Christopher S Cooper
J Christopher Austin
Howard N Winfield
Resource Type: Journal article
Publication Details: Canadian journal of urology, Vol.11(1), pp.2141-2145
PMID: 15003155
ISSN: 1195-9479
Language: English
Date published: 02/2004
Academic Unit: Stead Family Department of Pediatrics; Urology; Medicine Administration
Record Identifier: 9984319992202771

Metrics

7 Record Views