LAPAROSCOPIC - BILATERAL URETEROLYSIS IN ORMONDS DISEASE

We report a case of retroperitoneal fibrosis with dilation of the uppe r urinary tract on both sides and impaired renal function in a 66-year -old female. The patient was successfully treated by laparoscopic uret erolysis and intraperitonealization of both ureters with subsequent im munosuppressive medication. Due to intraoperative subcutaneous emphyse ma, surgical therapy had to be performed as a two-step procedure but p ostoperative morbidity was minimal with quick recovery. Laparoscopic u reterolysis is a reconstructive procedure and the ureters are accessib le in full length either transperitoneally or retroperitoneally.