Laparoscopic nephropexy for symptomatic nephroptosis: initial case report.
Laparoscopic nephropexy was performed in a 25-year-old woman with intractable pain and a palpable pelvic mass associated with right nephroptosis for more than 1 year. Evaluation by a supine and an erect intravenous urogram (IVU) revealed right renal descent of three vertebral bodies with mild hydronephrosis. Laparoscopic transperitoneal nephropexy was performed in a 2 and a half hour procedure. The patient stayed in the hospital 2 days postoperatively and returned to full activities 3 weeks later. At 2 months postoperatively, she is asymptomatic. An upright IVU2 months postoperatively revealed renal descent of only one vertebral body and no hydronephrosis. This is the first report to our knowledge of a successful laparoscopic nephropexy.
Urban
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DA
Division of Urology, Washington University School of Medicine, St. Louis, MO.
Clayman
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RV
Kerbl
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Figenshau
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RS
McDougall
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EM
D000328:Adult; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000150:complications / Q000601:surgery; D007674:Kidney Diseases / Q000150:complications / Q000601:surgery*; D010535:Laparoscopy; D010148:Intractable Pain / Q000209:etiology; D011391:Prolapse