Laparoscopic Uretero-Neocystostomy, Antireflux Technique: Is it Feasible

Objective: To assess the feasibility and outcome of lap-aroscopic antireflux ureteral reimplantation. Material and Methods: Eleven laparoscopic ureteral reimplantations were performed between June 2011 and December 2013 for ureteral strictures (3 men, 8 women). The mean age was 39 years (range 19-72). Nine patients had unilateral lower ureteric stricture, 2 patients had bilateral lower ureteric stricture. The etiology of stricture formation was bilharziasis in 4 patients, previous ureteroscopy in 4 patients, tuberculosis in 1 patient and unknown in 2 patients. 9 patients underwent laparoscopic modified Lich-Gregoir, 2 patients underwent modified laparoscopic Lich-Gregoir on the right side and simple anastomosis on the left side. Results: Mean operative time for all patients was 287 minutes (range 90-350). Post-operative stay was 2-3 days. Postoperative radiological imaging showed hydronephrosis in 1 patient at a follow-up interval of 6 months. Conclusions: Laparoscopic antireflux ureteral reimplantation is a feasible procedure with good medium-term results. Although it needs more laparoscopic skills and time than simple anastomosis.