Publication Type:

Journal Article


Urology, Volume 79, Number 5, p.1057-1062 (2012)



adult, antibiotic agent, antipyretic agent, article, clinical article, clinical assessment, clinical feature, clinical protocol, controlled study, disease association, disease severity, diuretic agent, female, fever, Fibrosis, follow up, hematuria, histopathology, human, Humans, hydronephrosis, infant, intraoperative period, kidney, kidney anomaly, kidney dysfunction, kidney surgery, laparoscopic surgery, laparoscopy, male, morbidity, nephrostomy, operation duration, pathology, pentetic acid, postoperative period, priority journal, pyeloplasty, redo pyeloplasty, renography, Retrospective Studies, surgical drainage, surgical infection, surgical technique, Time Factors, transperitoneal laparoscopic dismembered pyeloplasty, treatment outcome, ureter stent, Ureteral Obstruction, ureteropelvic junction obstruction, Young Adult


{Objective: To compare the operative outcome, morbidity profile, and functional outcome after transperitoneal laparoscopic dismembered pyeloplasty for ureteropelvic junction obstruction in unusual circumstances (intrinsic pathology in anomalous kidneys or unusual extrinsic pathologies; group 1) to the outcome after this procedure in familiar pathologies (normally located kidneys with intrinsic dysfunctional segment or extrinsic compression due to a crossing vessel; group 2). Methods: The patients were evaluated in detail. All patients underwent transperitoneal laparoscopic dismembered pyeloplasty. The operative and postoperative parameters were recorded. Patients were followed up after the procedure on a 3-month protocol. Imaging was repeated at 1 year. No intervention during the follow-up period (ie, nephrostomy, ureteral stenting, or redo pyeloplasty) and improvement in the hydronephrosis grade and diuretic renogram parameters was interpreted as procedural success. The operative, postoperative, and follow-up parameters in the 2 groups were compared. Results: Group 1 included 17 patients with intrinsic pathologic features and renal anomalies with ureteropelvic junction obstruction due to unusual extrinsic pathology. All procedures were successfully completed with the laparoscopic approach. A significant difference was noted in the mean operative duration (group 1, 196.9 ± 10.3 minutes; group 2, 125.44 minutes


cited By (since 1996)0

Cite this Research Publication

G. Pab Abraham, Das, Ka, Ramaswami, Kb, Siddaiah, A. Ta, George, D. Pc, Abraham, J. Ja, and Thampan, O. Sb, “Transperitoneal laparoscopic dismembered pyeloplasty in unusual circumstances - Is the outcome comparable to that achieved in familiar pathologies?”, Urology, vol. 79, pp. 1057-1062, 2012.