Kidney tumours are one of the most common urological problems. The management of kidney tumours has witnessed a great paradigm shift over the past decade, ..
A 70-year-old healthy gentleman presented with an impacted left upper ureteric stone. The initial stone treatment was successful, however the stone impaction resulted in a long mid-ureteric stricture. Many conservative treatments with variable stents including JJ stents and Memokath were attempted but they all failed due to severe encrustation and stent-related symptoms.
The patient was then referred to Dr Ali Thwaini, Consultant Urologist at Mediclinic City Hospital, who counselled him for a laparoscopic repair of his ureter by replacing the diseased segment with a piece of his small bowel. This procedure is normally carried out in a traditional open surgery, lasting several hours and needing a large abdominal incision, with a prolonged post-operative recovery.
The laparoscopic approach offsets most of these challenges by offering minimally invasive surgery and quicker post-operative recovery.