Laparoscopic antevasal uretero-ureteral anastomosis for treating retrocaval ureter


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Abstract

The article presents a case of laparoscopic antevasal correction of the retrocaval ureter in a 16 year old patient, who was admitted to the hospital with complaints of aching pain in the right lower back. His history was noteworthy of early age onset of intermittent fever accompanied by abdominal and lumbar pain. Blood count and urinalysis were within normal limits, and he was treated symptomatically. However, no renal ultrasound scan was done. Intravenous urography and MSCT showed a retrocaval ureter. The diagnosis was confirmed by retrograde ureteropyelography. With the patient placed in the lateral position, the right ureter was mobilized by transperitoneal access, transected and mobilized from under the inferior vena cava. Anterior uretero-ureteral anastomosis on the stent was performed, drainage was established. The operating time was 90 minutes, blood loss was 60 ml. There were no postoperative complications. Drainage was removed 2 days after surgery and the patient was discharged for outpatient treatment. The stent was removed 6 weeks postoperatively. Control urography showed normal function of both kidneys, no urodynamic abnormality of the upper urinary tract was identified

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About the authors

B. K Komyakov

I.I. Mechnikov North-Western State Medical University

Email: komyakovbk@mail.ru
Dr.Med.Sci., Prof., Head of Department of Urology

B. G Guliev

I.I. Mechnikov North-Western State Medical University; Scandinavia Clinic

Email: gulievbg@mail.ru
Dr.Med.Sci., Prof. at the Department of Urology

Sh. N Idrisov

Scandinavia Clinic

Email: idrisov@mail.ru
Ph.D., Head ofthe Department ofUrology

R. G Shibliev

Scandinavia Clinic

Email: rustam_633@mail.ru
Ph.D., Urologist at the Department of Urology

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