A case report of laparoscopic ipsilateral ureteroureterostomy in children with renal duplex

Area of Science:

• Pediatric Urology
• Minimally Invasive Surgery
• Congenital Anomalies

Background:

• Renal duplex anomalies are common congenital abnormalities.
• These anomalies can lead to complications such as vesicoureteral reflux and ureteral obstruction.
• Surgical intervention is often necessary for managing symptomatic renal duplex anomalies.

Purpose of the Study:

• To evaluate the efficacy and safety of laparoscopic ipsilateral ureteroureterostomy in pediatric patients with renal duplex anomalies.
• To describe the surgical technique and outcomes in a small cohort of children.

Main Methods:

• Two pediatric patients (aged 2 and 6 years) with complete renal duplex anomalies were included.
• Preoperative evaluation involved ultrasound, micturating cystourethrogram, magnetic resonance urography, and radioisotope scan.
• Both patients underwent laparoscopic ipsilateral ureteroureterostomy.

Main Results:

• One patient presented with high-grade vesicoureteral reflux and recurrent urinary tract infections.
• The other patient had upper moiety obstruction due to an ectopic ureter.
• Both procedures were performed uneventfully, with no intraoperative complications.
• Postoperative imaging confirmed successful surgical outcomes.

Conclusions:

• Laparoscopic ipsilateral ureteroureterostomy is a safe and effective surgical option for managing pediatric renal duplex anomalies.
• This minimally invasive approach can successfully address complications associated with duplex systems.
• Further studies with larger cohorts are warranted to confirm long-term outcomes.