Laparoscopic nephrectomy with laparoscopically assisted transvaginal extraction of intact kidney

Describe the first laparoscopic transperitoneal nephroureterectomy followed by laparoscopically assisted transvaginal extraction of the intact kidney performed in Puerto Rico.

A 39 year-old female patient consulted her urologist regarding chronic urinary tract infection. A diagnosis of a non-functioning left kidney was made, secondary to long standing obstruction due to a distal ureteral stone. Laparoscopic nephroureterectomy procedure was performed and the intact specimen was removed through a transverse posterior colpotomy. Patient was discharged home the next day without intraoperative or post-operative complications.

Laparoscopic nephrec-tomy with transvaginal extraction of the intact specimen provides a surgical option as a minimally invasive technique with very few functional and cosmetic compromises and with low post-operative morbidity when performed in appropriate female patients.