Aims and objectives:

To present our experience with laparoscopic  dismembered  pyeloplasty for pelviuretric junction obstruction.

Materials and methods:

A retrospective review of all cases who underwent laparoscopic dismembered pyeloplasty during January 2014 to july 2017 at Nizam’s institute of medical sciences, Hyderabad was done. A Total of  25 cases with  10 males and 15 females were evaluated with respect to age at presentation, preoperative renogram, surgical details and outcomes in terms of post operative recovery time, wound healing, return to work and improvement in T ½  on renogram during followup after laparoscopic dismembered pyeloplasty for pelviuretric junction obstruction. 

Results:

All the cases could be completed laparascopically without any intra operative complications. The operative time ranged from 2 1/2 to 4 hours. All the cases except one had antegrade dj stent placed. In one case DJ stent could not be placed due to kink in lower ureter–in this case dj was placed by cystoscopy after completion of pyeloplasty.

Conclusion:

Laparoscopic Dismembered pyeloplasty in pelviuretric junction obstruction shows improvement in functional status of the kidney with better perioperative and post operative recovery with minimal morbidity. Hence, Laparoscopic Dismembered Pyeloplasty stands first option in management of  pelviuretric junction obstruction .