Cargando…

Laparoscopic Ureteroneocystostomy and Vesicopsoas Hitch for Infiltrative Endometriosis

OBJECTIVE: To report a series of laparoscopic vesicopsoas hitch procedures performed for the treatment of infiltrative ureteral endometriosis. METHODS: A retrospective chart review of 6 women with severe endometriosis and ureteral obstruction caused by infiltrative disease of the distal ureter was p...

Descripción completa

Detalles Bibliográficos
Autores principales: Nezhat, Ceana H., Malik, Shazia, Nezhat, Farr, Nezhat, Camran
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2004
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015513/
https://www.ncbi.nlm.nih.gov/pubmed/14974654
_version_ 1782195532769263616
author Nezhat, Ceana H.
Malik, Shazia
Nezhat, Farr
Nezhat, Camran
author_facet Nezhat, Ceana H.
Malik, Shazia
Nezhat, Farr
Nezhat, Camran
author_sort Nezhat, Ceana H.
collection PubMed
description OBJECTIVE: To report a series of laparoscopic vesicopsoas hitch procedures performed for the treatment of infiltrative ureteral endometriosis. METHODS: A retrospective chart review of 6 women with severe endometriosis and ureteral obstruction caused by infiltrative disease of the distal ureter was performed. The patients underwent successful laparoscopic ureteroneocystostomy and vesicopsoas hitch. RESULTS: Five of the 6 patients had a history of endometriosis, and their obstructions were diagnosed during prior surgeries. The other patient was diagnosed with severe endometriosis of the rectum, bladder, and ureter at the time of the procedure. She was referred for evaluation of an incidental finding of hydroureter and hydronephrosis. Three patients were treated with gonadotrophin-releasing hormone (GnRH) analog for at least 3 months preoperatively. Five patients had ureteral stents in place prior to the psoas hitch surgery. No intraor postoperative complications occurred. All patients had a normal cystogram performed 10 to 14 days postoperatively prior to Foley catheter removal. Stents were kept in place for 6 to 8 weeks, and an intravenous pyelogram (IVP) was done 2 weeks after removal. All patients had a normal renal ultrasound, computer tomography, or intravenous pyelogram at least 1 year postoperatively. CONCLUSION: Laparoscopic vesicopsoas hitch can be a safe and effective alternative to the laparotomy with the known benefits of laparoscopy.
format Text
id pubmed-3015513
institution National Center for Biotechnology Information
language English
publishDate 2004
publisher Society of Laparoendoscopic Surgeons
record_format MEDLINE/PubMed
spelling pubmed-30155132011-02-17 Laparoscopic Ureteroneocystostomy and Vesicopsoas Hitch for Infiltrative Endometriosis Nezhat, Ceana H. Malik, Shazia Nezhat, Farr Nezhat, Camran JSLS Scientific Papers OBJECTIVE: To report a series of laparoscopic vesicopsoas hitch procedures performed for the treatment of infiltrative ureteral endometriosis. METHODS: A retrospective chart review of 6 women with severe endometriosis and ureteral obstruction caused by infiltrative disease of the distal ureter was performed. The patients underwent successful laparoscopic ureteroneocystostomy and vesicopsoas hitch. RESULTS: Five of the 6 patients had a history of endometriosis, and their obstructions were diagnosed during prior surgeries. The other patient was diagnosed with severe endometriosis of the rectum, bladder, and ureter at the time of the procedure. She was referred for evaluation of an incidental finding of hydroureter and hydronephrosis. Three patients were treated with gonadotrophin-releasing hormone (GnRH) analog for at least 3 months preoperatively. Five patients had ureteral stents in place prior to the psoas hitch surgery. No intraor postoperative complications occurred. All patients had a normal cystogram performed 10 to 14 days postoperatively prior to Foley catheter removal. Stents were kept in place for 6 to 8 weeks, and an intravenous pyelogram (IVP) was done 2 weeks after removal. All patients had a normal renal ultrasound, computer tomography, or intravenous pyelogram at least 1 year postoperatively. CONCLUSION: Laparoscopic vesicopsoas hitch can be a safe and effective alternative to the laparotomy with the known benefits of laparoscopy. Society of Laparoendoscopic Surgeons 2004 /pmc/articles/PMC3015513/ /pubmed/14974654 Text en © 2004 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Scientific Papers
Nezhat, Ceana H.
Malik, Shazia
Nezhat, Farr
Nezhat, Camran
Laparoscopic Ureteroneocystostomy and Vesicopsoas Hitch for Infiltrative Endometriosis
title Laparoscopic Ureteroneocystostomy and Vesicopsoas Hitch for Infiltrative Endometriosis
title_full Laparoscopic Ureteroneocystostomy and Vesicopsoas Hitch for Infiltrative Endometriosis
title_fullStr Laparoscopic Ureteroneocystostomy and Vesicopsoas Hitch for Infiltrative Endometriosis
title_full_unstemmed Laparoscopic Ureteroneocystostomy and Vesicopsoas Hitch for Infiltrative Endometriosis
title_short Laparoscopic Ureteroneocystostomy and Vesicopsoas Hitch for Infiltrative Endometriosis
title_sort laparoscopic ureteroneocystostomy and vesicopsoas hitch for infiltrative endometriosis
topic Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015513/
https://www.ncbi.nlm.nih.gov/pubmed/14974654
work_keys_str_mv AT nezhatceanah laparoscopicureteroneocystostomyandvesicopsoashitchforinfiltrativeendometriosis
AT malikshazia laparoscopicureteroneocystostomyandvesicopsoashitchforinfiltrativeendometriosis
AT nezhatfarr laparoscopicureteroneocystostomyandvesicopsoashitchforinfiltrativeendometriosis
AT nezhatcamran laparoscopicureteroneocystostomyandvesicopsoashitchforinfiltrativeendometriosis