Open AccessLaparoscopic gastrocystoplasty for tuberculous contracted bladder
Author(s) -
Manickam Ramalingam,
Kallappan Senthil,
T. S. Balashanmugam
Publication year - 2016
Publication title -
indian journal of urology/indian journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/0970-1591.195759
Subject(s) - medicine , bladder augmentation , surgery , urology , creatinine , kidney , stomach , right gastroepiploic artery , renal artery , urinary bladder , artery , bypass grafting
The stomach is the preferred augmentation option for a contracted bladder in a patient with renal failure. A 49-year-old female presented with right solitary functioning kidney with tuberculous lower ureteric stricture and contracted bladder. Her creatinine was 2.8 mg%. By laparoscopic approach, right gastroepiploic artery based gastric flap was isolated using staplers and used for augmentation and ureteric replacement. At 6-month follow-up, her creatinine was 1.9 mg%, and bladder capacity was 250 ml. She had mild hematuria, which settled with proton pump inhibitors. Laparoscopic gastrocystoplasty is feasible and effective augmentation option in those with renal failure, giving the benefits of minimally invasive approach.