Laparoscopic Repair of Circumcaval Ureter: One-year Follow-up of Three Patients and Literature Review

Fariborz Bagheri, Csaba Pusztai, Árpád Szántó, E. Holman, Zsolt Juhász, Tamás Beöthe, Bányai Dániel, László Farkas

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objectives: To describe our experience and 1-year follow-up of 3 patients with circumcaval ureter (CU) treated laparoscopically, with the introduction of a new stenting method and review of the published data. Because of its rarity, more reports are needed to advocate more comprehensive knowledge about the preferred surgical technique for the treatment of CU. Methods: Since November 2005, 3 patients with symptomatic CU have undergone laparoscopic repair of their anomaly at our institutes. In all 3 cases, the ureter was transected and positioned anteriorly with an end-to-end anastomosis. In 2 cases, the retrocavally located ureteral segment was resected. Results: The mean operative time in our series was 210 minutes, without any intraoperative or early postoperative complications. In 1 patient, a slight ureteral stricture was detected that resolved with reinsertion of a double-J stent. Histopathologic examination of the resected ureteral segments revealed sclerosis and muscular hypertrophy. All patients remained symptom free during the 1 year of follow-up. Conclusions: With all the advantages of a minimally invasive procedure and preserving therapeutic efficacy, the laparoscopic approach should be considered a standard choice for surgical treatment of CU in symptomatic patients. Care should be taken to diagnose and excise the pathologically narrowed ureteral segment.

Original languageEnglish
Pages (from-to)148-153
Number of pages6
JournalUrology
Volume74
Issue number1
DOIs
Publication statusPublished - Jul 2009

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Retrocaval Ureter
Sclerosis
Ureter
Operative Time
Hypertrophy
Stents
Pathologic Constriction
Therapeutics

ASJC Scopus subject areas

  • Urology

Cite this

Bagheri, F., Pusztai, C., Szántó, Á., Holman, E., Juhász, Z., Beöthe, T., ... Farkas, L. (2009). Laparoscopic Repair of Circumcaval Ureter: One-year Follow-up of Three Patients and Literature Review. Urology, 74(1), 148-153. https://doi.org/10.1016/j.urology.2009.02.048

Laparoscopic Repair of Circumcaval Ureter : One-year Follow-up of Three Patients and Literature Review. / Bagheri, Fariborz; Pusztai, Csaba; Szántó, Árpád; Holman, E.; Juhász, Zsolt; Beöthe, Tamás; Dániel, Bányai; Farkas, László.

In: Urology, Vol. 74, No. 1, 07.2009, p. 148-153.

Research output: Contribution to journalArticle

Bagheri, F, Pusztai, C, Szántó, Á, Holman, E, Juhász, Z, Beöthe, T, Dániel, B & Farkas, L 2009, 'Laparoscopic Repair of Circumcaval Ureter: One-year Follow-up of Three Patients and Literature Review', Urology, vol. 74, no. 1, pp. 148-153. https://doi.org/10.1016/j.urology.2009.02.048
Bagheri, Fariborz ; Pusztai, Csaba ; Szántó, Árpád ; Holman, E. ; Juhász, Zsolt ; Beöthe, Tamás ; Dániel, Bányai ; Farkas, László. / Laparoscopic Repair of Circumcaval Ureter : One-year Follow-up of Three Patients and Literature Review. In: Urology. 2009 ; Vol. 74, No. 1. pp. 148-153.
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