Abstract

Ureterocalicostomy is a procedure for recurrent pelvic ureteric junction obstruction (PUJO), inaccessible renal pelvis and renal anomalies associated with PUJO. It requires meticulous dissection of peri pelvic region. A wide spatulated, tension free, mucosa to mucosa anastomosis, internal stenting and lower pole amputation are the key features for a successful outcome of Ureterocalicostomy. We had a patient of upper ureteric injury sustained during laparoscopic converted open adrenalectomy surgery. He also had undergone multiple previous right hypochondrium surgeries that resulted in severe peri pelvic and perinephric fibrosis. Ureterocalicostomy was successfully performed in the patient. We hereby emphasize the possibility of Ureterocalicostomy as a procedure of choice in a case of iatrogenic ureteric injury and inaccessible pelvis due to severe peri pelvic adhesions.

Keywords: Ureterocalicostomy; PUJ obstruction; Upper ureteric injury