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CASE REPORT
Year : 2017  |  Volume : 44  |  Issue : 3  |  Page : 158-160

Primary ureterocalicostomy in a child: Operative steps


1 Department of Urology, KLE Academy of Higher Education and Research (Deemed-to-be-University), JN Medical College Campus; Department of Urology, KLES Kidney Foundation, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi, India
2 Department of Urology, KLES Kidney Foundation, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi, India

Correspondence Address:
Rajendra B Nerli
Department of Urology, KLE Academy of Higher Education and Research (Deemed-to-be-University), JN Medical College Campus, KLES Kidney Foundation, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jss.JSS_14_17

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Ureterocalicostomy completely excludes the renal pelvis and the stenotic ureteropelvic junction (UPJ) area and establishes urinary drainage from the lower calyx directly into the ureter. Technically, a successful ureterocalicostomy includes a generous spatulation of a healthy ureter, adequate excision of lower pole renal parenchyma, and a tension-free, precise, mucosa-to-mucosa uretero-caliceal anastomosis. We report a case of primary UPJ obstruction in a child with a small renal pelvis surrounded by multiple branches of renal vessels treated with primary ureterocalicostomy.


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