Nitin Jain
The horseshoe kidney is the most common renal fusion anomaly which predisposes to hydronephrosis, infections, stones etc. and can be associated with a duplex system, vesicoureteral reflux and uretero-pelvic junction obstruction. Uretero-pelvic junction obstruction is the most frequent abnormality that requires surgical intervention. UPJO may be the result of high insertion of the ureter into the renal pelvis, abnormal ureteral course anterior to the isthmus and anomalous blood supply to the kidney. Management of UPJO with HSK can be challenging but despite the associated anatomical challenges, the principles of surgery remain the same regardless of the approach. Here we described our approach, findings and experience of two cases of UPJ obstruction with HSK managed with transperitoneal laparoscopic dismembered pyeloplasty.
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