Laparoscopy, Retrocaval ureter, Stone disease
Citation Information :
Munjewar C, Rai P, Singh A, Singh S, Bhatt S, Srivastava A. Simultaneous Management of Retrocaval Ureter with Ipsilateral Renal Stone Disease: Single Center Experience. World J Lap Surg 2022; 15 (2):127-130.
Aim: To report our experience in managing retrocaval ureter and ipsilateral renal stone disease.
Materials and methods: Till now we have managed five such cases. Physical examination and laboratory investigations were unremarkable in all patients. Ultrasonography revealed right moderate hydronephrosis and a single upper calyceal stone in two, inferior calyceal calculus in two, and a pelvic calculus in one patient. A CT urography and Tc-99m diethylene-triamine-penta-acetic acid (DTPA) scan were done in all patients. In all patients, the renal scan was suggestive of reduced function with a right obstructed drainage pattern.
Results: All patients were managed successfully by a combined laparoscopic and endourological approach. No intraoperative or major postoperative complications were noted. On follow-up renal scan done at 1 year, all patients had unobstructed drainage and improved or stable split function.
Conclusion: Combined laparoscopic and endourologic approach is the adequate modality of treatment of patients with obstructed retrocaval ureter with ipsilateral renal calculi.
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