Background: Most abdominal surgery can be done by laparoscopic method. For urologic surgery, laparoscopic surgery is used to cut the kidney, prostate, seminal vesicles and get urinary stones, including the ureter stones.\r\n', u'Objectives: Contribute to improving treatment effects ureter stones by lapasoscopy tranperitoneal ureterolithotomy\r\n', u'Subjects and method: Laparoscopic transperitoneal ureterolithotomy was attempted in 90 patients (50 men and 34 women) with an age range of 22 \ufffd?75 years (mean 43.60+ 11.97 years). Learn characteristics of ureteral calculi (X-ray, ultrasound, urinary map vein) and surgical methods.\r\n', u'Results:The results showed that: Most ureterolith at L3 vertebral level (55.6%) and L4 (40.0%). The stone size ranged from 8 to 22mm (mean 13.87+ 3.25mm) and an average width 4 to 12mm (mean 6.96 + 1.82mm). Most cases of ureteral calculi with the situation fluid in the kidney level 2 (76.7%). The stone has impacted in the upper and mid ureter. Two 10-mm and one 5mm trocars were used. Most cases of stage 2 nasal. The mean operative time was 57.22 + 15.51 minutes (30-90 minutes). \r\n', u'Conclusion: The authors conclude that laparoscopic ureterolithotomy by the transperitoneal approach is a safe and reliable minimally invasive procedure. For large, hard, long-standing and impacted ureteric calculi, one laparoscopicureterolithotomy is an initial therapy\r\n', u'
Ureterostomy ; Laparoscopy

Clinical observation was made on 30 patients of obstructive uropathy who were performed antegrade pyelography in Department of Urology, Catholic Medical College, during the period from 1971 to 1976. It revealed antegrade pyelography is the most useful diagnostic procedure and accurate to demonstrate the morphology, site and cause of the obstructive lesion, and it leads to adequate procedure of operation. The results were as follows: 1. Non-visualized kidney (10 cases) and hydronephrotic kidney (23 cases) on intravenous pyelography were definitely diagnosed by antegrade pyelography. Non-visualized kidney (10 cases) on intravenous pyelography was distinctly diagnosed as hydronephrosis (7 cases) and hydronephrosis combined with caliceal destruction (3 cases) , and hydronephrotic kidney (23 cases) on intravenous pyelography was diagnosed as hydronephrosis (16 cases) and hydronephrosis associated with caliceal destruction (7 cases) 2. The main cause of obstructive uropathy revealed renal tuberculosis (15 cases), congenital ureteropelvic junction stricture (3 cases) and ureteral stone (3 cases) etc. 3. 32 cases of all 33 cases were noted ureteral obstruction. In these 32 cases, the sites of ureteral obstruction were lower 1/3 of the ureter (20 cases), upper 1/3 of the ureter (8 cases) and multiple ureteral obstruction (4 cases). 4. With definite diagnosis by antegrade pyelography, adequate operation could be performed; nephrectomy (11 cases), ureteral re-implantation (7 cases), nephrostomy (6 cases), cutaneous ureterostomy (5 cases) and pyeloplasty (2 cases).
Constriction, Pathologic ; Diagnosis ; Humans ; Hydronephrosis ; Kidney ; Nephrectomy ; Tuberculosis, Renal ; Ureter ; Ureteral Obstruction ; Ureterostomy ; Urography* ; Urology

It is known that many renal transplantation candidates with end stage renal disease have bladder dysfunction. Before 1966, these patients were considered poor candidates for renal transplantation because of their many bladder problems. But it has recently been reported that renal transplantation with an ileal conduit could solve these problems. Herein, we report on a patient with Hinman's syndrome and this patient underwent renal transplantation using a pre-existing cutaneous ureterostomy.
Humans ; Kidney Failure, Chronic ; Kidney Transplantation ; Ureterostomy ; Urinary Bladder ; Urinary Diversion

Unnecessary extirpative surgical procedure should be avoided for renal tuberculosis but patients refractory to or intolerant of chemotherapy and patients unable to stay on long-term chemotherapy for any reason may still require nephrectomy. Cure of patients is more important than cure of the disease in terms of rehabilitation. The author divided therapeutic principles of the renal tuberculosis into six categories as follows and representing case of each was evaluated. Category 1: anti-tuberculous chemotherapy only Category 2: anti-tuberculous chemotherapy and renal surgery Category 3: anti-tuberculous chemotherapy and permanent urinary tract diversion such as cutaneous ureterostomy Category 4: anti-tuberculous chemotherapy and restoration of urinary tract patency following urinary diversion Category 5: anti-tuberculous chemotherapy and enlargement of contracted bladder Category 6: anti-tuberculous chemotherapy and removal of clinically healed kidney because of failure of rehabilitation.
Drug Therapy* ; Humans ; Kidney ; Nephrectomy ; Rehabilitation ; Tuberculosis, Renal* ; Ureterostomy ; Urinary Bladder ; Urinary Diversion ; Urinary Tract

During the last two years, three patients have undergone transureteroureterostomy and cutaneous ureterostomy at the Kyung Hee University Medical Center. Two patients had marked azotemia and bilateral hydronephrosis due to neuromuscular vesical dysfunction. The other patient had advanced bladder tumor with hydronephrosis of one kidney and nonvisualization of the other kidney. Their follow-up results are satisfactory and wide application of this simple procedure is discussed.
Academic Medical Centers ; Azotemia ; Follow-Up Studies ; Humans ; Hydronephrosis ; Kidney ; Ureterostomy ; Urinary Bladder Neoplasms

124 cases of urinary diversion were reviewed from September, 1974 to March. 1990. Studies were underwent mainly concerning the indications and the postoperative complications in several diversion procedures such as ileal conduit. ileocecal conduit, tubeless cutaneous ureterostomy. Kock pouch and Indiana pouch. Although ileal conduit and ileocecal conduit are one of reliable method with broad applications, the early and late complications are often troublesome. Also continent diversion such as Kock pouch and Indiana pouch need the long operative time with technical difficulties. Tubeless cutaneous ureterostomy have high incidence of stomal stenosis especially in normal sized ureter. Because there are no ideal urinary diversion today, the careful and thorough evaluation and consideration should be given in selecting appropriate urinary diversion method in each different cases.
Colonic Pouches ; Constriction, Pathologic ; Incidence ; Indiana ; Operative Time ; Postoperative Complications* ; Ureter ; Ureterostomy ; Urinary Diversion*

Adult ; Humans ; Laparoscopy ; methods ; Male ; Retrocaval Ureter ; surgery ; Ureterostomy ; methods ; Young Adult

PURPOSE: Unilateral low loop cutaneous ureterostomy (LLCU) has been offered as the preferred method of temporary urinary diversion in cases of massively dilated and refluxing ureters. We sought to explore whether LLCU is effective in preserving urinary bladder function in the long term. MATERIALS AND METHODS: The charts of all patients who had undergone temporary unilateral LLCU as newborns in the presence of massive vesico-ureteric reflux were retrospectively reviewed. Demographic data, follow-up length, and presence of incontinence were recorded. Patients were interviewed regarding lower urinary tract symptoms (LUTS), and their urination patterns were recorded by using uroflow and post-void residual (PVR) measurements. RESULTS: Between 1972 and 2003, a total of 24 patients underwent unilateral LLCU in the presence of massively refluxing ureters. Eight patients were included in the final analysis. The median age at diversion was 12 days, the median time to closure was 22.5 months, and the median follow-up was 12.5 years. Urinary bladders showed normal contour, normal capacities, and minimal PVRs in most cases. None of the patients required augmentation cystoplasty. One patient suffered from urinary leakage and few demonstrated minimal LUTS. CONCLUSIONS: Unilateral refluxing LLCU is an effective method of urinary diversion that preserves urinary bladder function for the long term. Larger studies are required to confirm this finding.
Follow-Up Studies ; Humans ; Infant, Newborn ; Lower Urinary Tract Symptoms ; Retrospective Studies ; Ureter ; Ureterostomy ; Urinary Bladder ; Urinary Diversion ; Urination

A clinical observation was made on 57 cases of renal tuberculosis who were admitted to the Department of Urology, Capital Armed Forces General Hospital during the period from January, 1977 to December, 1979. The following results were obtained. 1. The incidence of renal tuberculosig wag 7.3% of all urological in-patients and male to female ratio was 4.7:1. The most common age group was 21 to 40 years (77.2%). 2. The site of lesion showed right to left ratio of 42.1% to 38.6% and bilateral in 19,3% of cases. 3. Vesical irritability symptoms were more frequent than other symptoms and less frequent ones showed generalized symptoms in 7 cases (12.3%) and epididymitis in 6 cases (10.5%). 4. 20(35.1%) of 67 cages bad been associated with tuberculosis other than kidney or past history. Among the 20 cases, tuberculous epididymitis was found in 9 cases (15.8%), pulmonary tubercu1osis in 6 cases (10.5%) and prostatic tuberculosis in 2 cases (3.5%) in order 5. On the intravenous pyelogram, nonvisualization of the kidney was viewed in 22 cases (38.6%). 0ther findings were calyceal destruction in 19 cases (33. 3%) and delayed visualization in 14 cases (24.6%). The most commonly viewed ureteral and vesical abnormal findings were dilatation in 19 cases (33.3%) and reduction in bladder capacity in 18 cases(31.6%) 6. The 49 operations were performed in 37 cases of renal tuberculosis. In unilateral renal tuberculosis, nephrectomy was Jone in 21 cases (88.9%), ureteric-reimplantation in 2 cases and Boari-flap in 1 case. Conservative surgeries in bilateral renal tuberculosis were ureteric reimplantation in 4 cases, nephrostomy in 3 cases, cutaneous ureterostomy, Boari flap, ureteroileocystoplasty and calycoileoileostomy in 1 cases each other.
Arm ; Dilatation ; Epididymitis ; Female ; Hospitals, General ; Humans ; Incidence ; Kidney ; Male ; Nephrectomy ; Replantation ; Tuberculosis ; Tuberculosis, Renal* ; Ureter ; Ureterostomy ; Urinary Bladder ; Urology

A Clinical observation was made oh the 32 cases of ureteral stricture not originated from calculi and tuberculous nature during the period from January 1960 to December 1969, and the following data were obtained: 1) There were 9 cases of stricture due to radical total hysterectomy and postoperative irradiation for cervix cancer, 5 cases of aberrant vessel, 4 cases of fibrosis of periureteral tissue and ureter itself, 2 cases of congenital ureteral stricture and 1 case due to ureteritis. 2) The ureteral stricture was noted in the upper in 10 cases, 8 cases were in the lower third of ureter. 3) The clinical manifestation included flank pain, tenderness along the course of ureter in 11 cases, mass in 8 cases and high fever, chill and general malaise in 7 cases. Hematuria, anuria, loss of weight and edema also were noted 4) Of the 32 cases, 12 cases underwent nephrectomy, 9 case, were submitted periodic dilation of ureter and 3 cases had good results with resection aberrant vessels. In 2 cases ureteroneocystostomy was performed utilizing bladder flap method. In still others, percutaneous ureterostomy was performed in 2 cases and lysis (deligation) of the ligated ureter was made in 1 cases. No manipulation was done at all in 1 cases.
Anuria ; Calculi ; Constriction, Pathologic* ; Edema ; Fever ; Fibrosis ; Flank Pain ; Hematuria ; Hysterectomy ; Nephrectomy ; Ureter* ; Ureterostomy ; Urinary Bladder ; Uterine Cervical Neoplasms