Laparoscopic Nephropexy: Long-Term Follow-Up— Washington University Experience

Abstract

Nephropexy can be safely and effectively accomplished laparoscopically, with durable radiographic and clinical resolution of the signs and symptoms.

Laparoscopic radical cystectomy - initial experience

“…In 1995, combined laparoscopic and transvaginal anterior pelvic exenteration for bladder cancer was described by Puppo et al in five cases (11). Completely intracorporeal LRC with a continent urinary diversion (rectal sigmoid pouch) in 5 cases was done in 2001 by Turk et al (12).…”

Clinical Experience in the Treatment of Nephroptosis Using Retroperitoneal Laparoscopic Nephropexy

“…In 1993, Urban first reported nephropexy had been completed by minimally invasive laparoscopic surgery, better solving the problem of large trauma caused by open surgery. Dougall et al [8] believe though the kidney suspension under laparoscope has a longer operative time, it presents less postoperative pain and faster recovery, about 80% of patients with low back pain and other symptoms can be improved, and more than three years of follow-up visits show a stable effect. In 2005, Wyler et al [7] reported the suspension of the upper, middle and lower pole of the kidney and the psoas major under laparoscope for the treatment of 12 patients with symptomatic nephroptosis.…”

Renal scintigraphy in diagnosis and management of nephroptosis

“…[7] Subsequently, McDougall, et al ., (2000) further legitimized laparoscopic nephropexy as a valid surgical treatment for nephroptosis by showing improvement in pain conditions in a long-term outcome study. [8] Laparoscopic nephropexy has recently become available for selected symptomatic patients.…”