Summary
Objective
The aim of this study was to present a novel laparoscopic technique for persistent
urinary incontinence in pediatrics due to ectopic ureter associated with poor functioning
upper renal moiety.
Methods
This technique consisted of laparoscopic clipping of the upper moiety artery and vein.
The ectopic ureter was also clipped afterwards without upper pole partial nephrectomy.
Results
The patient was a seven-year-old girl with persistent urinary incontinence and confirmation
of duplex kidney with poor functioning upper moiety in pre-operative investigations.
The upper moiety ureter was ectopically drained to the vaginal cavity. She was immediately
dry after surgery and discharged on the second postoperative day. During the follow-up
period of 14 months, she was continent and symptom-free. Hydronephrosis was not visualized
in follow-up ultrasonography.
Conclusions
This laparoscopic upper renal moiety vascular and ureteral clipping without partial
nephrectomy could serve as a promising, safe and simple alternative in the treatment
of patients with ectopic ureter associated with poor functioning renal moiety. Also,
ipsilateral normal functioning moiety would not be associated with potential morbidity
in this technique.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric UrologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Diagnostic work-up and laparoscopic correction of an ectopic ureter.J Pediatr Urol. 2015; 11: 285-286
- Comparison of laparoscopic and open partial nephrectomy for duplication anomalies in children.J Urol. 2006; 175: 2269-2273
- Renal outcome following heminephrectomy for duplex kidney.J Urol. 2005; 173: 1743-1744
- Laparoscopic ureteral ligation (clipping): a novel, simple procedure for pediatric urinary incontinence due to ectopic ureters associated with non-functioning upper pole renal moieties.J Pediatr Urol. 2014; 10: 1089-1094
Article info
Publication history
Published online: January 14, 2017
Accepted:
December 5,
2016
Received:
June 10,
2016
Identification
Copyright
© 2017 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
