Laparoscopic treatment of refluxing segmental megaureter.
We discuss the case of a 13-year old boy with urinary infection who was preoperatively diagnosed with left vesicoureteral reflux associated with paraurethral saccule. Laparoscopic Lich-Gregoir anti-reflux surgery was then proposed. Intraoperatively, we observed segmental megaureter that was successfully treated by the proposed technique without ureteral modeling, contrary to the rule that respects the 3-5 times ratio between the submucous path and the ureteral diameter.
Mitre
Anuar I
AI
Discipline of Urology, Medicine School of Jundiai, Sao Paulo, SP, Brazil. anuar@mitre.com.br
Pagotto
Vitor C
VC
Crivellaro
Vasco A
VA
D000208:Acute Disease; D000293:Adolescent; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D011704:Pyelonephritis / Q000209:etiology; D016896:Treatment Outcome; D014513:Ureter / Q000002:abnormalities* / Q000601:surgery; D014718:Vesico-Ureteral Reflux / Q000150:complications / Q000175:diagnosis / Q000601:surgery*