Retroperitoneal Laparoscopic Nephrectomy in the Treatment of Incontinence from Ectopic Ureter with Renal Hypoplasia in the Child - a Case Report

以後腹腔鏡腎切除術治療小孩的異位輸尿管開口併腎發育不全引起的尿失禁－病例報告

吳文正(Wen-Jeng Wu) ； 江博暉(Po-Hui Chiang) ； 黃俊雄(Chun-Hsiung Huang)

《The Kaohsiung Journal of Medical Sciences》 17卷12期 (2001/12) Pp. 626-629

https://doi.org/10.6452/KJMS.200112.0626

摘要

單側單套輸尿管陰道異位開口合併同側腎發育不全是一個少見的疾病。它的典型表徵是有正常排尿型態但卻持續的尿失禁。這種腎臟多無功能，因此，治癒這型尿失禁的最佳方法是腎切除。我們報告一位七歲的小女生經後腹腔鏡腎切除術成功的治癒其尿失禁。她在術後三天內即恢復正常作息，且術後追蹤六年並無手術併發症。我們認為，即使小孩因後腹腔操作空間較小，但對這種發育不全的小腎臟合併輸尿管陰道異位開口所引起的尿失禁的治療上，後腹腔鏡腎切除術是一個值得推薦可行的治療方式。

並列摘要

Unilateral single vaginal ectopic ureteral opening with ipsilateral hypoplastic kidney is a rare disease. It is classically presented with continuous urinary incontinence, but a normal voiding pattern after successful toilet training. The kidneys associated with this condition are usually nonfunctional and nephrectomy is the treatment of choice to cure the incontinence. We present a 7-year old girl with such a problem successfully treated by retroperitoneal laparoscopy. The patient resumed her normal unrestricted activity level on postoperative day 3. She was free of symptoms related to the operation during a 6-year follow-up period. It is suggested from this case that despite the reduced working space in children, retroperitoneal laparoscopic nephrectomy in the treatment of small kidney with complications is a feasible procedure.

並列關鍵字

incontinence ； laparoscopy ； hypoplastic kidney