Novel technique of laparoscopic extravesical ureteric reimplantation in primary obstructive megaureter
Objective: This study aims to demonstrate a novel laparoscopic technique of tapering megaureter without disrupting the blood supply and disconnecting the ureter. Materials and Methods: Eight cases of primary obstructive megaureter in the age group of 14–22 years underwent laparoscopic extravesical u...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2017-01-01
|
| Series: | Urology Annals |
| Subjects: | |
| Online Access: | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2017;volume=9;issue=2;spage=150;epage=152;aulast=Khan |
| _version_ | 1811268112205479936 |
|---|---|
| author | Altaf Khan Mujeebu Rahiman Ashish Verma Rahul Bhargava |
| author_facet | Altaf Khan Mujeebu Rahiman Ashish Verma Rahul Bhargava |
| author_sort | Altaf Khan |
| collection | DOAJ |
| description | Objective: This study aims to demonstrate a novel laparoscopic technique of tapering megaureter without disrupting the blood supply and disconnecting the ureter.
Materials and Methods: Eight cases of primary obstructive megaureter in the age group of 14–22 years underwent laparoscopic extravesical ureteric reimplantation between August 2011 and July 2015 using our novel technique. Five patients had obstruction on left side and three on right side. Follow-up ultrasonography at 1 month and 3 months, voiding cystourethrogram (VCUG) at 3 months and intravenous urogram (IVU) at 6 months was obtained to assess the development of reflux and to look for adequate drainage of the obstructive ureter.
Results: Average age of the patients at the time of surgery was 18.5 years. Mean operating time was 95 min. Mean blood loss of 20 ml. VCUG done after 3 months showed no reflux in all cases. IVU done after six months showed no obstruction and complete drainage of dye.
Conclusion: Our technique of tapering obstructed megaureter over a preplaced ureteral dilator is time saving and also helps in preserving blood supply to lower ureter. As a result, ureteric anastomotic stricture rate is very low. It is easily reproducible in the open as well as by robotic. |
| first_indexed | 2024-04-12T21:15:54Z |
| format | Article |
| id | doaj.art-3ceab2c255c447b890890b7390b7d469 |
| institution | Directory Open Access Journal |
| issn | 0974-7796 0974-7834 |
| language | English |
| last_indexed | 2024-04-12T21:15:54Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Urology Annals |
| spelling | doaj.art-3ceab2c255c447b890890b7390b7d4692022-12-22T03:16:27ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342017-01-019215015210.4103/0974-7796.204182Novel technique of laparoscopic extravesical ureteric reimplantation in primary obstructive megaureterAltaf KhanMujeebu RahimanAshish VermaRahul BhargavaObjective: This study aims to demonstrate a novel laparoscopic technique of tapering megaureter without disrupting the blood supply and disconnecting the ureter. Materials and Methods: Eight cases of primary obstructive megaureter in the age group of 14–22 years underwent laparoscopic extravesical ureteric reimplantation between August 2011 and July 2015 using our novel technique. Five patients had obstruction on left side and three on right side. Follow-up ultrasonography at 1 month and 3 months, voiding cystourethrogram (VCUG) at 3 months and intravenous urogram (IVU) at 6 months was obtained to assess the development of reflux and to look for adequate drainage of the obstructive ureter. Results: Average age of the patients at the time of surgery was 18.5 years. Mean operating time was 95 min. Mean blood loss of 20 ml. VCUG done after 3 months showed no reflux in all cases. IVU done after six months showed no obstruction and complete drainage of dye. Conclusion: Our technique of tapering obstructed megaureter over a preplaced ureteral dilator is time saving and also helps in preserving blood supply to lower ureter. As a result, ureteric anastomotic stricture rate is very low. It is easily reproducible in the open as well as by robotic.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2017;volume=9;issue=2;spage=150;epage=152;aulast=KhanLaparoscopic ureteric reimplantationnovel techniqueprimary obstructive megaureter |
| spellingShingle | Altaf Khan Mujeebu Rahiman Ashish Verma Rahul Bhargava Novel technique of laparoscopic extravesical ureteric reimplantation in primary obstructive megaureter Urology Annals Laparoscopic ureteric reimplantation novel technique primary obstructive megaureter |
| title | Novel technique of laparoscopic extravesical ureteric reimplantation in primary obstructive megaureter |
| title_full | Novel technique of laparoscopic extravesical ureteric reimplantation in primary obstructive megaureter |
| title_fullStr | Novel technique of laparoscopic extravesical ureteric reimplantation in primary obstructive megaureter |
| title_full_unstemmed | Novel technique of laparoscopic extravesical ureteric reimplantation in primary obstructive megaureter |
| title_short | Novel technique of laparoscopic extravesical ureteric reimplantation in primary obstructive megaureter |
| title_sort | novel technique of laparoscopic extravesical ureteric reimplantation in primary obstructive megaureter |
| topic | Laparoscopic ureteric reimplantation novel technique primary obstructive megaureter |
| url | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2017;volume=9;issue=2;spage=150;epage=152;aulast=Khan |
| work_keys_str_mv | AT altafkhan noveltechniqueoflaparoscopicextravesicaluretericreimplantationinprimaryobstructivemegaureter AT mujeeburahiman noveltechniqueoflaparoscopicextravesicaluretericreimplantationinprimaryobstructivemegaureter AT ashishverma noveltechniqueoflaparoscopicextravesicaluretericreimplantationinprimaryobstructivemegaureter AT rahulbhargava noveltechniqueoflaparoscopicextravesicaluretericreimplantationinprimaryobstructivemegaureter |