Related Experiment Video
Updated: Jun 3, 2026
03:57
Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
Laparoscopic pyeloplasty in adults: stented versus stentless
Cenk Y Bilen1, Yildirim Bayazit, Ahmet Güdeloğlu
1Department of Urology, Hacettepe University School of Medicine, Ankara, Turkey. cybilen@yahoo.com
Journal of Endourology
|March 9, 2011
Summary
Stentless laparoscopic pyeloplasty (LP) is a feasible alternative to stented LP for treating ureteropelvic junction obstruction. This technique offers comparable success rates and patient outcomes without compromising efficacy.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Surgical Techniques
Background:
- Investigating the efficacy and feasibility of stentless laparoscopic pyeloplasty (LP) compared to stented LP.
- Addressing symptoms like loin pain and urinary tract infections due to documented obstruction.
Purpose of the Study:
- To compare the outcomes of stented and stentless LP procedures.
- Evaluating surgical duration, hospital stay, complications, and functional recovery.
Main Methods:
- Retrospective comparison of 27 stentless LP and 21 stented LP patients.
- Standard transperitoneal approach for both techniques.
- Assessment of outcomes including operative time, hospital stay, symptom resolution, and scintigraphic findings.
Main Results:
- No significant difference in operative time, drain removal, or hospital stay between groups.
- Improved renal scintigraphy in 22 stentless cases vs. 14 stented cases.
- Complete symptom resolution in 24 stentless cases vs. 19 stented cases.
Conclusions:
- Stentless LP is a feasible and effective surgical option.
- While prolonged leakage is a risk, experienced surgeons can achieve high success rates.
- The technique offers comparable efficacy to stented LP.
Related Concept Videos
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
01:22Imaging Studies V: Intravenous Urography and Retrograde Pyelography
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...