Laparoscopic ureteroureterostomy in children with a duplex collecting system plus obstructed ureteral ectopia

Mustafa Olguner1, Feza M Akgür, Mehmet Atilla Türkmen

  • 1Department of Pediatric Surgery, Dokuz Eylül University Faculty of Medicine, Balcova, 35340 İzmir, Turkey. mustafa.olguner@deu.edu.tr

Insights

Laparoscopic ureteroureterostomy (UU) offers a minimally invasive option for treating duplicated collecting systems in children. This approach successfully redirected urine in two pediatric patients, showing promise for future applications.

Area of Science:

  • Pediatric urology
  • Minimally invasive surgery
  • Congenital anomalies

Background:

  • Duplicated collecting systems are complex upper urinary tract anomalies.
  • Ureteroureterostomy (UU) is the standard surgical procedure for functioning upper moieties.
  • Open UU is well-established, but laparoscopic experience in pediatric patients is limited.

Observation:

  • The study reports the successful application of laparoscopic UU in two pediatric patients.
  • This minimally invasive technique was used to correct a duplicated collecting system.

Findings:

  • Laparoscopic UU was successfully performed in pediatric patients with duplicated collecting systems.
  • The procedure effectively redirected urine flow to the normal collecting system.

Implications:

  • Laparoscopic UU is a promising minimally invasive alternative to open surgery for pediatric duplicated collecting systems.
  • This technique may reduce patient morbidity and improve recovery times.
  • Further research is warranted to establish long-term outcomes and broader applicability.

Related Concept Videos

Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary 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...
Anatomy of the Genitourinary System I: Kidneys and Ureters01:11

Anatomy of the Genitourinary System I: Kidneys and Ureters

The upper urinary system comprises two kidneys and two ureters, which are crucial in filtering blood and forming urine.KidneysLocation and Structure:The kidneys are two bean-shaped organs positioned behind the peritoneum on either side of the spine.Kidneys are between the 12th thoracic (T12) and the 3rd lumbar (L3) vertebrae.The position of the liver causes the right kidney to sit slightly lower than the left.Protective Layers:Each kidney is enveloped in a tough, fibrous membrane called the...
Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging 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...