LAPAROSCOPIC USE OF THE URETERAL ILLUMINATOR

Laparoscopic identification of the ureters is complicated by decreased tactile sensation and magnified video imaging. We report our experien ce in placing a ureteral illuminator to aid in ureteral identification prior to six laparoscopic urologic procedures. The ureteral illuminat or facilitated laparoscopic ureteral identification during five nephou reterectomies and one ureterolithotomy. Illuminator placement required a minimum of anesthetic time and resulted in no complications. Preope rative placement of a ureteral illuminator aids laparoscopic ureteral identification and may reduce the incidence of inadvertent ureteral in jury.