Surgical management in retroperitoneal fibrosis: beyond ureterolysis
| Autor: | Vigneswara Srinivasan Sockkalingam Venkatachalapathy, Datson George Palathullil, Dempsey Mohan Sam, George Palathullil Abraham |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | African Journal of Urology, Vol 27, Iss 1, Pp 1-4 (2021) |
| Druh dokumentu: | article |
| ISSN: | 1110-5704 1961-9987 |
| DOI: | 10.1186/s12301-021-00218-x |
| Popis: | Abstract Background Retroperitoneal fibrosis can be associated with bilateral dense and extensive periureteral adhesions. When ureterolysis could not be successfully performed due to disease extent and severity, elaborate ureteral reconstructive procedures will be required. Case presentation A young male with retroperitoneal fibrosis presented with bilateral hydroureteronephrosis. The ureteral involvement was extensive and adhesions were dense. He was managed by laparoscopic boari flap ureteroneocystostomy on one renal unit and laparoscopic nephrectomy with renal autotransplantation on the other renal unit. Conclusions Ureterolysis is not feasible in all cases of retroperitoneal fibrosis. Extensive bilateral ureteral reconstruction without using intestinal segments is feasible. Minimally invasive surgical reconstructive procedures can be successfully employed in such scenarios also. |
| Databáze: | Directory of Open Access Journals |
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