Laparoscopic gastrocystoplasty for tuberculous contracted bladder

Autor: Manickam Ramalingam, Kallappan Senthil, T S Balashanmugam
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Indian Journal of Urology, Vol 33, Iss 1, Pp 70-72 (2017)
Druh dokumentu: article
ISSN: 0970-1591
1998-3824
DOI: 10.4103/0970-1591.195759
Popis: The stomach is the preferred augmentation option for a contracted bladder in a patient with renal failure. A 49-year-old female presented with right solitary functioning kidney with tuberculous lower ureteric stricture and contracted bladder. Her creatinine was 2.8 mg%. By laparoscopic approach, right gastroepiploic artery based gastric flap was isolated using staplers and used for augmentation and ureteric replacement. At 6-month follow-up, her creatinine was 1.9 mg%, and bladder capacity was 250 ml. She had mild hematuria, which settled with proton pump inhibitors. Laparoscopic gastrocystoplasty is feasible and effective augmentation option in those with renal failure, giving the benefits of minimally invasive approach.
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