Retroperitoneal laparoscopic nephrectomy in the treatment of incontinence from ectopic ureter with renal hypoplasia in the child--a case report.
Unilateral single vaginal ectopic ureteral opening with ipsilateral hypoplastic kidney is a rare disease. It is classically presented with continuous urinary incontinence, but a normal voiding pattern after successful toilet training. The kidneys associated with this condition are usually nonfunctional and nephrectomy is the treatment of choice to cure the incontinence. We present a 7-year old girl with such a problem successfully treated by retroperitoneal laparoscopy. The patient resumed her normal unrestricted activity level on postoperative day 3. She was free of symptoms related to the operation during a 6-year follow-up period. It is suggested from this case that despite the reduced working space in children, retroperitoneal laparoscopic nephrectomy in the treatment of small kidney with complications is a feasible procedure.
Wu
W J
WJ
Department of Urology, Kaohsiung Medical University, Kaohsiung, Taiwan. k75185@kmhk.kmu.edu.tw
Chiang
P H
PH
Huang
C H
CH
D002648:Child; D002828:Choristoma / Q000601:surgery*; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D010535:Laparoscopy; D009392:Nephrectomy / Q000379:methods*; D012187:Retroperitoneal Space; D014513:Ureter; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery*