Laparoscopic undiversion of end ureterostomy: A novel technique
1Department of Pediatric Surgery, Pediatric Urology & MAS, Rainbow Hospitals for Women and Children, Road No. 10, Banjara Hills, Hyderabad 500034, Telangana, India.
Purpose:
We describe a novel technique of laparoscopic undiversion and reimplantation of end ureterostomy in children.
Methods And Technique:
Three children (mean age 2.1 y, two girls) underwent laparoscopic undiversion and reimplantation of unilateral end ureterostomy during early infancy for symptomatic primary obstructive megaureter. The procedure consisted of laparoscopic dismantling of stoma, mobilization and medial rerouting of ureter, and extravesical ureteric reimplantation.
Results:
There were no complications (mean follow-up 10 months). Follow-up investigations revealed only mild residual hydronephrosis with no ipsilateral reflux. Cosmetic results were excellent.
Conclusion:
Our novel technique allows laparoscopic undiversion of ureterostomy to be performed with success.
