OBJECTIVES Surgery therapy of renal ptosis is controversial. Often surgery does not resolve the symptoms thus the surgeon never faces this problem willingly. Doubts arise due to the invasiveness of the operation in relation to the pathology and the scarsity of results. Retroperitoneal laparoscopy is a relatively simple approach to the solution of this problem. We present a variation of the classical nephropexis. MATERIALS AND METHODS It is a laparascopic retroperitoneal operation. A prolene net is anchored between the square loin muscle, the psoas and the renal capsular in such a way to form a hammock onto which the inferior pole rests. An incision of 2cm is made under the ribs for access to the retroperitoneal space. Dilation is obtained by filling a finger of a surgical glove (mounted onto a trocar) with 700cc of water. 2 trocars are positioned on either side of the medial line. The inferior pole of the kidney is isolated. The square loin muscle and the psoas can be seen. The net is fixed inferiourly to the renal capsular. In this manner a hammock is formed around the inferior pole of the kidney. RESULTS AND CONCLUSIONS Patient was discharged on the second postoperative day and returned to normal activity within 10 days. An IVP at 6 months showed that the net was well fixed, the kidney is well suspended with normal morphology of the urinary tract without ureteral kinking.
|Number of pages||1|
|Journal||British Journal of Urology|
|Issue number||SUPPL. 2|
|Publication status||Published - 1997|
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