Laparoscopic Pyeloplasty in a Solitary Kidney

Nauman Zafar; John Leyland; Nimish C Shah*

Disclosures

Nat Clin Pract Urol. 2007;4(11):625-629. 

In This Article

Summary

Background A 40-year-old male presented with right-sided abdominal pain and no lower urinary tract symptoms. Examination was unremarkable, apart from mild right renal angle tenderness.
Investigations Renal function, full blood count and C-reactive protein levels were all normal. Ultrasound of renal tract, abdominal computed tomography (CT) and 99mTc-mercaptoacetyltriglycine (MAG3) renogram confirmed ureteropelvic junction obstruction.
Diagnosis The ureteropelvic junction obstruction of the right kidney was identified, with a crossing lower pole renal vessel as the possible cause. An absent left kidney was also noted.
Management Laparoscopic transperitoneal dismembered Anderson­Hynes pyeloplasty was performed, with posterior transposition of the crossing lower pole vessel.

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