Abstract
Aim: To evaluate the use of cyanoacrylic glue to fix the kidney in laparoscopic nephropexy for symptomatic nephroptosis. Patients and Methods: From 1998 to 2006 we performed nephropexy in 10 women with symptomatic nephroptosis. In all patients we performed transperitoneal laparoscopic nephropexy using cyanoacrylic glue to fix the kidney. Preoperatively all patients were investigated by clinical exami-nation, urography (intravenous pyelogram, IVP) and split renal scintigram in supine and upright positions. After a minimum follow-up of 30 months, all patients were evalu-ated for symptoms, were asked about their satisfaction and underwent IVP and renal scintigraphy. Results: The mean operative time was 53 minutes. No intra- or post-operative complication occurred. The mean hospital stay was 4.5 days. After a mean follow-up of 88 months, improvement in symp-toms was reported in all cases, with complete and significant relief in 9 (90%) and 1 (10%) case respectively. Postoperative IVP and renal scintigraphy in supine and upright positions showed the resolution of renal ptosis and the normal distri-bution of split renal function in both positions. Conclusions: Our series seems to demonstrate that cyanoacrylic glue may be a safe and efficient agent to fix the kidney in laparoscopic nephropexy.
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