Laparoscopic Uretero-Neocystostomy, Initial Experience, AMR MOSTAFA, AMR ABD EL-HAKIM, OMAR ABD EL-RAZZAK, HAZEM ABOU EL-FETTOUH and MAHMOUD ABD EL-HAKIM
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- Category: Vol. 83, March 2015
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Laparoscopic Uretero-Neocystostomy, Initial Experience, AMR MOSTAFA, AMR ABD EL-HAKIM, OMAR ABD EL-RAZZAK, HAZEM ABOU EL-FETTOUH and MAHMOUD ABD EL-HAKIM
Abstract
Objective: To assess the feasibility and outcome of lap-aroscopic ureteral reimplantation.
Material and Methods: Five laparoscopic ureteral reim-plantations 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.