The mini-flank lumbotomy for pyeloplasty in association with the Ottoni pyelostent: An inexpensive and efficient
Antonio Macedo1, Ana Clara Esteves Ottoni2, Débora Laena Barroso Sacoman3
1Departament of Pediatrics, Federal University of São Paulo, São Paulo, Brazil; Departament of Urology, CACAU-NUPEP, São Paulo, Brazil.
Abstract:
Pyeloplasty at an early age (<2 years) can be treated by a flank open, laparoscopy or robotic approach. We want to demonstrate our strategy and how to construct a very inexpensive pyelostent from a Foley tube. The Ottoni catheter is made from a Foley tube, sectioning the proximal end keeping a plastic circular basement for fixation to the skin. Surgery consists of a small classical lumbar flank incision proportional to a thumb finger in length. The Ottoni catheter is placed as an external stent (Fig 3). Patients stay in hospital overnight and remove the stent after 4 days PO.
