Transperitoneal laparoscopic ureteroureterostomy for the treatment of retrocaval ureter: analysis of 3 consecutive cases

Abstract

The aim of this report was to demonstrate the operative technique and assess outcomes of laparoscopic ureteroureterostomy on 3 consecutive cases diagnosed with retrocaval ureter. The presenting symptom of these cases was recurrent right flank pain and the diagnosis was established by intravenous urography. All patients were successfully treated with transperitoneal laparoscopic ureteroureterostomy using an intracorporeal suture technique with a mean operative time of 118 min. The mean blood loss was 76 cc and hospital stay 3.3 days. The minimally invasive laparoscopic surgery should be considered as the first choice of treatment for retrocaval ureter due to cosmetic advantages and early recovery.