One stage surgical procedures for bilateral urinary tract lesions

In a selected group of bilateral urinary tract lesions of varied benign etiologies, single stage corrective surgical procedures were performed in 24 patients. The operations included lithotomies, pyeloplasties, ureteric reimplantations, ureterolysis, nephrectomies, urethral valve fulgurations and repair of vescicovaginal fistulae in various combinations. This procedure has many obvious advantages. The patient will be hospitalized only once and operated upon on both sides in one sitting, thus avoiding multiple anesthesias with their attendant risks. Both kidneys are given equal opportunity to recover simultaneously in obstructive lesions. The overall cost of treatment can be reduced considerably. There were two postoperative deaths with no significant morbidity in the series.