Laparoscopic ureteroneocystostomy and vesicopsoas hitch for infiltrative endometriosis of ureter

Background: The purpose of this study was treatment of ureteral endometriosis by laparoscopic ureteroneocystostomy and vesicopsoas hitch.Methods: This retrospective study included 3 women with severe endometriosis and ureteral obstruction due to infiltrative disease of the distal ureter. The patients underwent successful laparoscopic ureteroneocystostomy and vesicopsoas hitch.Result: Two patients had ureteral stents in place prior to the psoas hitch surgery and one of them had history of ureteral implantation because the urologist can not insert DJ stent .Surgery procedure was laparoscopic ureteroneocystostomy and vesicopsoas hitch. No 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.Conclusion: Laparoscopic ureteroneocystostomy and vesicopsoas hitch can be a safe and effective alternative to the laparotomy and with the known benefits of laparoscopy.

Keywords:

Ureteral endometriosis , Ureteroneocystostomy , Laparoscopy , Vesicopsoas hitch