A 14-year-old white girl presented with a history of recurrent urinary
tract infections beginning at age 18 months. Anatomical evaluation re
vealed bilateral duplication of the collecting systems. On the right s
ide the upper pole moiety ended at an obstructing orthotopic ureteroce
le. On the left side the upper pole moiety was associated with an ecto
pic ureteral orifice. The patient underwent laparoendoscopic right upp
er pole partial nephrectomy with ureterectomy. To our knowledge this i
s the first report of a laparoendoscopic upper pole partial nephrectom
y. Details of the procedure are discussed.