title: [Laparoscopic nephropexy for symptomatic nephroptosis: a case report].
abstract: We present our clinical findings of laparoscopic nephropexy performed on a 32-year-old woman with symptomatic nephroptosis. Supine and erect excretory urography (DIP) revealed right renal descent of 2.5 vertebral bodies with hydronephrosis. Laparoscopic transperitoneal nephropexy was performed using nonabsorbable sutures, polyglactin net, hernial staplers and tissue adhesive. An upright DIP 1 month postoperatively revealed renal descent of only 1 vertebral body and no hydronephrosis. One year postoperatively, the patient is asymptomatic. A laparoscopic procedure, which is safe, effective and causes minimal morbidity, represents an excellent approach for repair of symptomatic nephroptosis.
authors.affiliation: Department of Urology, Shimada Municipal Hospital.
authors.forename: T
authors.initials: T
authors.lastname: Soda
authors.forename: D
authors.initials: D
authors.lastname: Hori
authors.forename: H
authors.initials: H
authors.lastname: Onishi
authors.forename: M
authors.initials: M
authors.lastname: Miyakawa
authors.forename: T
authors.initials: T
authors.lastname: Matsuda
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007668:Kidney / Q000601:surgery*; D007674:Kidney Diseases / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D016896:Treatment Outcome