Resumen

VARGAS-ROCHA, Vladimir Erik  y  UZARES ENRIQUEZ, Daniela. Bilateral pyeloureteral stenosis case report, resolved by “Anderson Hynes” laparoscopic dismembered pyeloplasty. Gac Med Bol [online]. 2024, vol.47, n.2, pp.139-142.  Epub 31-Dic-2024. ISSN 1012-2966.  https://doi.org/10.47993/gmb.v47i2.835.

Ureteropelvic stenosis (UPE) is a narrowing of the ureteropelvic junction that causes difficulty in the flow of urine. Causes: Extrinsic or intrinsic, benign or malignant, iatrogenic or non-iatrogenic, the most predisposing being the male sex between the ages of 15 - 35 years, they present a varied clinical picture, among the most frequent are abdominal pain, stiffness, distension and rigidity. of the costovertebral angle, persistent flank pain, with persistent urinary infections or pyelonephritis, although it should be emphasized that many times patients with UPE may be asymptomatic, the diagnosis is by ultrasound finding in the vast majority of cases, the imaging study of choice is Renal scintigraphy, although in our environment contrasted urotomography with elimination phase is performed as a study. Currently, there are different therapeutic options available in the management of ureteral stenosis, ranging from conventional interventions through open surgery to more modern minimally invasive procedures, among which are the laparoscopic and robotic routes. We present the case of a 16-year-old patient with bilateral ureteropelvic stenosis, resolved by a laparoscopic approach, using dismembered Anderson Hynes ureteropelvic plasty, with immediate recovery of the patient and total recovery of renal function. Pyeloplasty in its different forms is considered a standard in the treatment of UPE, a procedure with few complications and currently with the advent of technology in laparoscopic and robotic surgery has improved the deficiencies that the procedure presented, however it is a procedure that It must continue to be performed by experienced professionals and in controlled training hospitals like ours.

Palabras clave : ureteropelvic stenosis; laparoscopic; Anderson-Hynes.

        · resumen en Español     · texto en Español     · Español ( pdf )