Background and Purpose:We report our experience and technique with robot assisted laparoscopic ipsilateral ureteroureterostomy (IUU) in the management of ureteral duplication with ectopia in children.
Patients and Methods: We performed a retrospective chart review of all patients that underwent robot assisted laparoscopic IUU at the University of Minnesota Amplatz Children's Hospital between December 2010 and October 2011. Demographic information, diagnosis, operative time, hospital course, complications, and follow-up were all evaluated.
Results: Our series included four female patients and one male patient with a mean age of 61 months (6 to 182 months). All five were diagnosed with upper pole ectopic ureters, one of which was associated with an ureterocele. Mean total operative time was 225 minutes (181 to 253 minutes) and mean hospital stay was 1.2 days (1-2 days). There were no intraoperative complications. In follow-up, one patient developed pyelonephritis at time of ureteral stent removal, but all patients had resolution of their presenting symptoms including urinary tract infections (UTI) and incontinence. A significant reduction in hydronephrosis was also seen.
Conclusions: Our experience indicates that robot assisted laparoscopic ipsilateral ureteroureterostomy is safe and effective in the management of ureteral duplication anomalies in children.
Written by:
Leavitt DA, Rambachan A, Haberman K, Demarco R, Shukla A. Are you the author?
University of Minnesota, Department of Urology, Minneapolis, Minnesota, United States.
Reference: J Endourol. 2012 May 7. Epub ahead of print.
doi: 10.1089/end.2012.0041
PubMed Abstract
PMID: 22563798
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