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- W2093023740 abstract "Background: Symptomatic nephroptosis is rare, requiring surgical management in very select cases. We report a surgical technique and a case of symptomatic nephroptosis in a solitary functioning kidney treated by retroperitoneoscopy. Patients and Methods: A 37-year-old female presented with right loin pain worse when standing, urinary tract infections and hematuria. Intravenous urography in supine/erect positions demonstrated significant nephroptosis of >6 cm. Renography failed to show any obstruction. After thorough discussion she elected to undergo retroperitoneoscopic nephropexy. Results: A standard 3-port retroperitoneal technique was employed and was successful with no complications. The kidney was stented to ensure no hindrance to drainage. Tissue sealant was used in addition to sutures to stop any cortical bleeding and promote fibrosis. The opera-tive time was 132 minutes and blood loss <10 ml. Inpatient stay totalled 3.5 days. Intravenous urography at 3 months showed a reduction in renal displacement and no demonstrable nephroptosis was evident on ultrasound scan at 1 year. The patient remains asymptomatic at 24 months follow-up. Conclusion: Retroperitoneoscopic nephropexy is feasible even in patients with a solitary kidney. We recommend stenting the kidney and the use of tissue sealant in addition to sutures for the nephropexy in such cases." @default.
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- W2093023740 date "2008-05-01" @default.
- W2093023740 modified "2023-09-24" @default.
- W2093023740 title "Retroperitoneoscopic Nephropexy in a Pateint with a Solitary Functioning Kidney" @default.
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- W2093023740 doi "https://doi.org/10.1159/000115391" @default.
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