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Laparoscopic bilateral ureterolysis in Ormond's disease

W Boeckmann¹, J M Wolff, G Adam

¹Department of Urology, Medical Faculty, Rheinisch-Westfälische Technische Hochschule, Aachen, Germany.

Urologia Internationalis

|January 1, 1996

Summary

Retroperitoneal fibrosis can cause urinary tract dilation and kidney issues. Laparoscopic ureterolysis and immunosuppression offer a successful treatment with minimal recovery time.

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Area of Science:

Nephrology
Urology
Minimally Invasive Surgery

Background:

Retroperitoneal fibrosis (RPF) is a rare condition characterized by inflammatory fibrous tissue in the retroperitoneum.
RPF can lead to ureteral obstruction, causing upper urinary tract dilation and renal dysfunction.
Surgical intervention is sometimes necessary to relieve ureteral compression.

Observation:

A 66-year-old female presented with bilateral upper urinary tract dilation and impaired renal function secondary to RPF.
The patient underwent a two-step laparoscopic ureterolysis and intraperitonealization of both ureters.
Intraoperative subcutaneous emphysema necessitated a staged surgical approach.

Findings:

Successful treatment of RPF with laparoscopic ureterolysis and subsequent immunosuppressive therapy.

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Minimal postoperative morbidity and rapid recovery were achieved despite the two-step procedure.

Laparoscopic ureterolysis provided full-length access to the ureters, facilitating reconstructive repair.

Implications:

Laparoscopic ureterolysis is a viable and effective reconstructive option for managing ureteral obstruction caused by RPF.
Minimally invasive surgical techniques can lead to favorable outcomes in complex cases of RPF.
Combined surgical and medical management (immunosuppression) may be crucial for long-term success in RPF treatment.