Laparoscopic ureteroneocystostomy and vesicopsoas hitch with double ureter for infiltrative endometriosis: a case report.

Full Abstract

BACKGROUND: The incidence of congenital anomalies of the ureter is very low, as is the incidence of endometriosis of the ureter. The presence of the 2 conditions together is extremely rare. To our knowledge, this is the first description in the medical literature of a laparoscopic ureteroneocystostomy and vesicopsoas hitch in the setting of a double ureter for the treatment of infiltrative endometriosis. CASE: A 31-year-old multigravid woman with a history of severe endometriosis involving the urogenital tract and complete duplication of the right renal collecting system, as well as a right ureterovaginal fistula, presented for evaluation and surgical consult. The patient underwent laparoscopic ureteroneocystostomy and vesicopsoas hitch for the treatment of infiltrative endometriosis with a double ureter. CONCLUSION: In skilled operative hands, a minimally invasive approach, applying the principles of laparotomy, in the setting of a duplicated renal collecting system is feasible.

Author information

Author/s: Nezhat, Ceana (C); Rottenberg, Howard (H);

Affiliation: Atlanta Center for Minimally Invasive Surgery and Reproductive Medicine, 5555 Peachtree Dunwoody Road, Suite 276, Atlanta, GA 30342, USA. ceana(-atsign-)nezhat.com

Journal and publication information

Publication Type: Case Reports; Journal Article

Journal: The Journal of reproductive medicine (J Reprod Med), published in United States. (Language: eng)

Reference: 2009-Jun; vol 54 (issue 6) : pp 407-10

Dates: Created 2009/07/30; Completed 2009/09/17;

PMID: 19639934, status: MEDLINE (last retrieval date: 9/17/2009, IMS Date: )

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