Laparoscopic upper-pole heminephrectomy for ectopic ureter: Surgical technique

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

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

A duplex kidney associated with a poorly functioning upper-pole segment is commonly associated with incontinence, voiding dysfunction, and urinary tract infections. A standard treatment option for this condition is upper-pole heminephrectomy. With the continued development of minimally invasive urology, this technique can now be safely performed laparoscopically. This report details step by step our technique of laparoscopic upper-pole heminephrectomy. Key points include placement of a catheter in the normal ureter at the start of the case, full mobilization of the upper-pole ureter away from the renal hilum, and precise identification of the vasculature supplying the upper pole. Laparoscopic upper-pole heminephrectomy for ectopic ureter is safe and reproducible and offers the patient the typical postoperative benefits of laparoscopic surgery.

Original languageEnglish (US)
Pages (from-to)469-473
Number of pages5
JournalJournal of Endourology
Volume17
Issue number7
DOIs
StatePublished - Sep 2003

ASJC Scopus subject areas

  • Urology

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