Salvage Laparoscopic Pyeloplasty in the Worst Case Scenario: After Both Failed Open Repair and Endoscopic Salvage

Abstract

Our series of laparoscopic reconstructions of the UPJ in patients failing both an initial open pyeloplasty and subsequent salvage endoscopic procedures is the largest in the literature at present. As in open surgery, the ability to respond to intraoperative findings with techniques such as flap repair and renal mobilization are essential. Although time consuming, these repairs can be successful and maintain the advantages of laparoscopy.