Laparoscopic Mainz II Approach for Single System Ectopic Ureter with Bladder Agenesis
Vinod Khelge1, Sidhartha Kalra1, Lalgudi Narayanan Dorairajan1
1Department of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Journal of Endourology Case Reports
|August 11, 2020
Summary
This study presents a rare case of congenital bladder agenesis and solitary kidney in a 20-year-old female experiencing urinary incontinence. The patient was successfully treated using a laparoscopic Mainz II procedure with ureteral reimplantation.
Area of Science:
- Urology
- Congenital Anomalies
- Surgical Techniques
Background:
- Solitary renal unit with ectopic ureter and bladder agenesis is a rare congenital anomaly.
- Urinary incontinence is a common symptom in patients with such anomalies.
- Management options include continent and noncontinent urinary diversion procedures.
Related Concept Videos
01:19Anatomy of the Genitourinary System II: Bladder and Urethra
831
The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
831
01:25Urinary Tract Calculi VI: Surgical Management
213
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...
213
01:26Kidney Transplant II: Surgical Procedure
199
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...
199
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
1.4K
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...
1.4K