Laparoscopic Intravesical Detrusorrhaphy with Ureteral Plication for Megaureter: A Novel Technique

Sang Woon Kim, Neddy Lee Lim, Yong Seung Lee, Sang Won Han, Young Jae Im

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Introduction To demonstrate the novel technique of laparoscopic intravesical detrusorrhaphy with ureteral plication for megaureter. Technical Considerations From December 2012 to June 2014, 11 patients with primary unilateral megaureter underwent laparoscopic intravesical detrusorrhaphy with ureteral plication. By a transvesicoscopic approach using a 3-port technique, the ureter was mobilized and plicated with a 6F Foley catheter. After dissection of the bladder mucosa in a semilunar shape, the detrusor was incised vertically and repaired underneath the mobilized ureter to create a submucosal tunnel. The ureter was covered with bladder mucosa, and the ureteral orifice was anastomosed to its orthotopic neoureteric orifice. The mean age of the included patients at the time of surgery was 9.18 years (range, 12 months-24 years). All surgeries were successfully completed without open conversion, with a mean operation time of 214 minutes including preoperative evaluation. All patients tolerated the procedure without any complications. Within the mean follow-up duration of 12.6 months (range, 5-24 months), no complications related to the surgery were reported, and no vesicoureteral reflux was detected in the operated side on postoperative voiding cystourethrography. The distal ureteral diameter was significantly reduced (from 21.1 to 11.6 mm), and the grade of hydronephrosis was decreased on postoperative ultrasonography without deterioration of renal function. Conclusion In this study, laparoscopic intravesical detrusorrhaphy with ureteral plication demonstrated successful short-term outcomes in management of megaureter in children and adults. Our technique can be an effective and feasible surgical option in the treatment of megaureter.

Original languageEnglish
Pages (from-to)187-191
Number of pages5
JournalUrology
Volume86
Issue number1
DOIs
Publication statusPublished - 2015 Jul 1

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Ureter
Mucous Membrane
Urinary Bladder
Vesico-Ureteral Reflux
Hydronephrosis
Dissection
Ultrasonography
Catheters
Kidney
Therapeutics

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Kim, Sang Woon ; Lim, Neddy Lee ; Lee, Yong Seung ; Han, Sang Won ; Im, Young Jae. / Laparoscopic Intravesical Detrusorrhaphy with Ureteral Plication for Megaureter : A Novel Technique. In: Urology. 2015 ; Vol. 86, No. 1. pp. 187-191.
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Laparoscopic Intravesical Detrusorrhaphy with Ureteral Plication for Megaureter : A Novel Technique. / Kim, Sang Woon; Lim, Neddy Lee; Lee, Yong Seung; Han, Sang Won; Im, Young Jae.

In: Urology, Vol. 86, No. 1, 01.07.2015, p. 187-191.

Research output: Contribution to journalArticle

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