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Case Reports in Urology
Volume 2013, Article ID 124710, 4 pages
http://dx.doi.org/10.1155/2013/124710
Case Report

Laparoscopic Nephroureterectomy for Adult Patient with Primary Obstructive Megaureter

Department of Urology, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-Ku, Yokohama 236-0004, Japan

Received 4 October 2013; Accepted 14 November 2013

Academic Editors: M. Gallucci and C. Pavlovich

Copyright © 2013 Kimito Osaka et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 29-year-old female with a complaint of abdominal distension was referred to our hospital. She had a history of being treated for pyelonephritis three times. By computed tomography and retrograde pyelography, she was diagnosed with adult left primary megaureter. Her left renal function was severely deteriorated. She hoped for surgical intervention before becoming pregnant. Laparoscopic nephroureterectomy for megaureters seems to be difficult due to the large size. By sucking urine from an inserted ureteral catheter and setting trocar positions, we successfully performed laparoscopic nephroureterectomy for megaureter.