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VR-6
(VS)
LAPAROSCOPIC-ASSISTED URETEROURETEROSTOMY FOR ECTOPIC URETER IN
CHILDREN
Alberto PARENTE, Jose Maria ANGULO, Laura BURGOS, Ruben ORTIZ and Rosa María ROMERO
GREGORIO MARAÑÓN UNIVERSITY HOSPITAL, PEDIATRIC UROLOGY, Madrid, SPAIN
PURPOSE
To describe a novel laparoscopic-assisted technique for ureteroureterostomy for the surgical Management of a
completely duplicated collecting system with an ectopic ureter.
MATERIAL AND METHODS
This is the case of a 5-years-old girl who presented with lifelong continuous urinary incontinence. Ultrasound and
renogram revealed a duplicated right collecting system with a functional superior moiety and dilated ureter. In
cistoscopy, we observed that this upper-pole ureter leads in the vagina. We performed a 3 mm laparoscopy. We located
and dissected both right ureters and we presented them by a small inguinal incision. We performed a open
ureteroureterostomy and we placed a doble J.
RESULTS
Double J was removed 1 month later. The patient tolerated the procedure well and ultrasound on follow-up revealed no
residual hydronephrosis. She remains dry today.
CONCLUSIONS
This minimally invasive technique is a safe and feasible approach to repair a duplex collecting system with an ectopic
ureter in the pediatric population. This technique combines the speed and ease of the open technique with the improved
cosmetic and visualization of a laparoscopic approach.