Laparoscopic ureteroneocystostomy with vesicopsoas hitch: nonrefluxing ureteral reimplantation using cystoscopy-assisted submucosal tunneling.
OBJECTIVE
We described laparoscopic nonrefluxing ureteral reimplantation with a psoas hitch using a submucosal tunneling technique combined with cystoscopy.


METHODS
We performed this operation on two female patients. The first patient had a right lower-ureteral stricture after a laparoscopy-assisted vaginal hysterectomy, and the second patient had a left distal-ureteral stricture after a left laparoscopic oophorectomy, which was performed for endometriosis. We performed laparoscopic intravesical ureteral reimplantations with a psoas hitch using submucosal tunneling after a submucosal injection of normal saline was provided under cystoscopy.


RESULTS
The operative times were 325 and 280 minutes, respectively. The estimated blood loss was 300 mL in the first case and 120 mL in the second. The hospital stays were 5 and 3 days, respectively. There were no postoperative complications. Follow-up voiding cystourethrography and intravenous urography demonstrated normal compliance and function of the kidneys and ureters with no vesicoureteral reflux.


CONCLUSIONS
Laparoscopic intravesical nonrefluxing ureteroneocystostomy with a psoas hitch is a safe and feasible procedure. Cystoscopic submucosal injection of normal saline during submucosal tunneling is beneficial.
Chung
Han
H
Department of Urology, Gachon Medical School, Incheon, Korea.
Jeong
Byong Chang
BC
Kim
Hyeon Hoe
HH
D000328:Adult; D003559:Cystostomy; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects; D010535:Laparoscopy / Q000379:methods*; D010052:Ovariectomy / Q000009:adverse effects; D012092:Replantation / Q000379:methods*; D014513:Ureter / Q000601:surgery*; D014525:Urethral Stricture / Q000209:etiology / Q000601:surgery*