Management of symptomatic ureteric stumps laparoscopically

Aim: To study the advantage of excision of the distal symptomatic ureteric stumps with the retroperitoneal laparoscopic approach. Methods: Four patien ts who had failed to settle their symptoms with the initial conservative ma nagement were included in the study. All underwent excision of the distal s ymptomatic ureteric stumps with the retroperitoneal laparoscopic approach a nd then received prophylactic antibiotics. Results: We have achieved better results than those reported in the literature in terms of operating time ( mean 1 h; 45 min), blood loss ( < 10 mt), postoperative recovery (within 12 h) and hospital stay ( < 48 h). Conclusion: Retroperitoneal laparoscopic e xcision is a safe, simple and effective method in the management of symptom atic ureteric stumps.