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Ureteropelvic Junction Obstruction in an Ectopic Pelvic Kidney

R. B. Nerli, Department of Urology, JN Medical College, KLE Academy of Higher Education and Research, KLES Kidney Foundation, KLES Dr. Prabhakar Kore Hospital & M.R.C, Belgaum, Karnataka 590010, India. , R.B. Nerli1 , Shridhar C. Ghagane2 , Shankar K.3 , Vishal Kadeli4 , Neeraj S. Dixit5 , Murigendra B. Hiremath6

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Urology, Nephrology and Andrology International 3(1):p 5-8, January- June 2018. | DOI: DOI: http://dx.doi.org/10.21088/unai.2456-5016.3118.1

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Abstract

Introduction: The most common type of ectopic kidney is the pelvic kidney, whereby the organ remains in the pelvic cavity. In many patients the condition of renal ectopic remains undiagnosed throughout their life. UPJO is the commonest associated problem. We reviewed the case records of patients presenting with an UPJO in an ectopic pelvic kidney. We also assessed the feasibility and safety of laparoscopic repair of UPJO.

Materials & Methods: We retrospectively reviewed the case records of patients presenting to us with UPJO in a pelvic or ectopic kidney. The age, gender, presenting symptoms, clinical signs, images treatment records were noted and analyzed.

Results: During the period Jan 2011 to Dec 2015, a total of 15 patients (11 female and 4 male) with a mean age of 21.7±5.11 yrs. (Range 9 to 33) underwent pyeloplasty for a pelvic ectopic kidney. The laparoscopic approach was successful in 9/12 (75%) patients. Conversion to open surgery (dismembered pyeloplasty) was necessary in the remaining
three. In the three other patients, an open pyeloplasty was performed.

Conclusions: Surgery remains the major form of treatment in these patients with UPJO. Laparoscopic approach seems a useful option for the treatment UPJO. Laparoscopic approach to ectopic pelvic kidneys with UPJO is feasible, safe and effective.

Keywords: Ectopic; Kidney; UPJ Obstruction; Laparoscopy.

 

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DOI: DOI: http://dx.doi.org/10.21088/unai.2456-5016.3118.1

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