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Laparoscopic vesicopsoas hitch for infiltrative ureteral endometriosis
C H Nezhat1, F R Nezhat, F Freiha
1Department of Gynecology and Obstetrics, Stanford University Medical Center, California, USA.
Objective:
To report the technique and outcome of a laparoscopic vesicopsoas hitch used for the treatment of infiltrative ureteral endometriosis.
Design:
Case report.
Setting:
A tertiary care center.
Patient(S):
A 36-year-old woman with infiltrative endometriosis of the ureter.
Intervention(S):
A laparoscopic vesicopsoas hitch.
Main Outcome Measure(S):
The return of normal ureteral function as measured by IV pyelography and ultrasonography.
Result(S):
After partial ureteral resection, it was noted that a tension-free anastomosis to the bladder was not possible. Thus, a laparoscopic vesicopsoas hitch was performed.
Conclusion(S):
A vesicopsoas hitch can be performed successfully by laparoscopy.