title: Laparoscopic treatment of refluxing segmental megaureter.
abstract: 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.
authors.affiliation: Discipline of Urology, Medicine School of Jundiai, Sao Paulo, SP, Brazil. anuar@mitre.com.br
authors.forename: Anuar I
authors.initials: AI
authors.lastname: Mitre
authors.forename: Vitor C
authors.initials: VC
authors.lastname: Pagotto
authors.forename: Vasco A
authors.initials: VA
authors.lastname: Crivellaro
mesh_terms: 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*