LAPAROSCOPIC PYELOURETEROSTOMY IN LOWER MOIETY URETERO PELVIC JUNCTION OBSTRUCTION ASSOCIATED WITH PARTIAL Y DUPLICATION

Authors

  • KUPPAN C T1 DEPARTMENT OF UROLOGY, SAVEETHA MEDICAL COLLEGE AND HOSPITAL, SAVEETHA INSTITUTE OF MEDICAL AND TECHNICAL SCIENCES (SIMATS), SAVEETHA UNIVERSITY, CHENNAI, IND
  • RAMESH BABU DEPARTMENT OF PEDIATRIC UROLOGY, SRI RAMACHANDRA INSTITUTE OF HIGHER EDUCATION, PORUR, CHENNAI – 600116
  • DR.J. JEEVARATHAN PROFESSOR, DEPARTMENT OF PEDIATRIC DENTISTRY, SREE BALAJI DENTAL COLLEGE & HOSPITAL, CHENNAI, INDIA

Keywords:

Laparoscopy, Y-duplication, uretero pelvic junction Obstruction, Duplex kidney, Ureteropyelostomy

Abstract

We report a case of an 11-month-old girl with persistent hydronephrosis following antenatal diagnosis and a single episode of urinary tract infection (UTI). Investigations revealed a uretero pelvic Junction obstruction (UPJO) of the lower pole in a duplex however the ureteric anatomy was unclear. A retrograde pyelogram (RGP) revealed Y-duplication with UPJO close to the Y-junction. Laparoscopic excision of UPJ narrow segment was done along with an end to side pyeloureterostomy of lower pole pelvis to upper pole ureter. At 1 year follow up, the patient was asymptomatic with good resolution of hydronephrosis. We report this case for its rarity and to discuss laparoscopic pyeloureterotomy as a suitable option in UPJO of the lower pole with partial Y-duplication.

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How to Cite

C T1, K., BABU, R., & JEEVARATHAN, D. (2025). LAPAROSCOPIC PYELOURETEROSTOMY IN LOWER MOIETY URETERO PELVIC JUNCTION OBSTRUCTION ASSOCIATED WITH PARTIAL Y DUPLICATION. TPM – Testing, Psychometrics, Methodology in Applied Psychology, 32(S2(2025) : Posted 09 June), 602–605. Retrieved from https://tpmap.org/submission/index.php/tpm/article/view/278