Laparoscopic redo pyeloplasty with a buccal mucosal graft. Issue 2 (19th December 2022)

• Record Type: Journal Article
• Authors: Shimizu, Nobuhiko; Naya, Yukio; Sekine, Keita; Hou, Kyokushin; Okato, Atsushi; Suyama, Takahito; Araki, Kazuhiro; Masuda, Hiroshi; Kojima, Satoko
• Is Part Of: IJU case reports. Volume 6:Issue 2(2023)
• Page Start: 124
• Page End: 127
• Publication Date: 2022-12-19
• Subjects: buccal mucosa graft -- laparoscopic redo pyeloplasty; Urology -- Periodicals; Genitourinary organs -- Periodicals; Electronic journals; Periodicals; 616.6
• DOI: 10.1002/iju5.12567
• Languages: English
• ISSNs: 2577-171X

Abstract

Abstract : Introduction: Redo pyeloplasty can be difficult due to scar tissue or fibrosis. Ureteral reconstruction with a buccal mucosal graft is performed safely and successfully, but most reports of ureteral reconstruction using a buccal mucosal graft are of robot‐assisted surgery, with few reports of laparoscopic‐assisted surgery. A case of laparoscopic‐assisted redo pyeloplasty using a buccal mucosal graft is presented. Case presentation: A 53‐year‐old woman was diagnosed with ureteropelvic junction obstruction, and a double‐J stent was placed to relieve backache. She visited our hospital 6 months after double‐J stent placement. Three months later, laparoscopic pyeloplasty was performed. At 2 months postoperatively, anatomic stenosis occurred. Holmium laser endoureterotomy and balloon dilation were performed; however, the anatomic stenosis recurred, and laparoscopic redo pyeloplasty with a buccal mucosal graft was performed. After redo pyeloplasty, obstruction was improved, and her symptoms disappeared. Conclusion: This is the first case of using a buccal mucosal graft for laparoscopic pyeloplasty in Japan.