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Case Reports
. 2014 Nov 26;5(1):39-43.
doi: 10.1159/000369786. eCollection 2015 Jan-Apr.

A case of laparoscopic ureteric reimplantation in a solitary urinary system

Karl H Pang  1 , Saiful Miah  2 , Mark D Haynes  2 , Neil E Oakley  2
Affiliations
Case Reports

A case of laparoscopic ureteric reimplantation in a solitary urinary system

Karl H Pang et al. Case Rep Nephrol Dial. .

Abstract

Ureteric strictures can be caused by traumatic pelvic surgery, urolithiasis and instrumentation. There are various treatment options for ureteric stricture, including laparoscopic ureteric reimplantation. A 56-year-old female with a history of chronic left pelviureteric junction obstruction presented with urosepsis secondary to right-sided urolithiasis. The patient had a left nephrectomy and developed right-sided ureteric stricture following repeated ureteroscopy to manage her stone disease. The treatment with ureteric stenting was unsuccessful. Here we present a case on the feasibility of laparoscopic reimplantation for ureteric stricture in a solitary kidney to preserve renal function and avoid further ureteroscopy or nephrostomies.

Keywords: Laparoscopic ureteric reimplantation; Solitary kidney; Urolithiasis.

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Figures

Fig. 1
Fig. 1
A CT demonstrated right-sided hydronephrosis (blue arrow) and chronic left-sided pelviureteric junction obstruction as well as renal cyst (red arrow).
Fig. 2
Fig. 2
Right nephrostogram demonstrated a persistent right ureteric stricture (red arrows).
Fig. 3
Fig. 3
A right nephrostogram performed 6 weeks after surgery showed a free flow of urine from the kidney (red arrow) to the bladder (blue arrow).
See this image and copyright information in PMC

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