Case report: laparoscopic ureteropyelostomy and distal ureterectomy for management of duplication with ectopia.
OBJECTIVE
To evaluate the role of laparoscopic ureteropyelostomy and subtotal ureterectomy for management of an ectopic ureter to the prostatic urethra.


METHODS
A 54-year-old man presented with complaints of paravertebral pain and recurrent prostatitis with elevation of the serum prostate specific antigen concentration. Diagnostic evaluation revealed right renal duplication with an ectopic ureter to the prostatic urethra. Using a four-port transperitoneal laparoscopic technique, a laparoscopic ureteropyelostomy and subtotal ureterectomy were performed. Diagnostic follow-up documented successful treatment with the minimally invasive technique.


CONCLUSIONS
Laparoscopic ureteropyelostomy and subtotal ureterectomy provide effective treatment for this rare condition. The minimally invasive technique may also have clinical applications in the pediatric population.
Pinggera
Germar-M
GM
Department of Urology, Medical University of Innsbruck, Innsbruck, Austria.
Mitterberger
Michael
M
Pallwein
Leo
L
Frauscher
Ferdinand
F
Herwig
Ralf
R
Varkarakis
John
J
Peschel
Reinhard
R
Strasser
Hannes
H
Bartsch
Georg
G
D006801:Humans; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D011300:Preoperative Care; D011467:Prostate / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014513:Ureter / Q000000981:diagnostic imaging / Q000601:surgery*; D014519:Ureterostomy / Q000379:methods*; D014570:Urologic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*