Laparoscopic Reconstructive Procedures in Duplex Moieties: Points of Technique and Outcome

Abstract

Abstract Introduction: Duplex moieties may present with a wide range of pathologies, obstruction and reflux being the most common.1 Reconstruction in duplex moieties is challenging, as integrity of both moieties needs to be meticulously preserved. Although the laparoscopic approach has been increasingly employed for different urological reconstructions, the laparoscopic approach for restoration of different pathologies in duplex moieties has been reported sparingly.2,3 We demonstrate operative exercises of laparoscopic reconstructions of various pathologies in duplex moieties. Methods: All patients were evaluated in detail, including clinical and biochemical profiles. Imaging included ultrasound, computed tomography or magnetic resonance urogram, voiding cystourethrogram, and retrograde pyelogram. Cystoscopy was performed to rule out concomitant bladder pathologies. Diuretic renogram was ordered to ensure salvagability of the pathological moiety. All procedures were performed through the laparoscopic appr...