Laparoscopic treatment of triple ureteral with ureteral calculus: A case report.

RATIONALE

Ureteral triplication (UT) is a rare congenital urinary tract anomaly, with approximately 100 cases reported globally, arising from abnormal branching of the ureteric bud during embryogenesis.

PATIENT CONCERNS

A 48-year-old male presented with recurrent left flank and abdominal pain for 3 years, worsening over the past year, accompanied by gross hematuria and purulent urine, suggesting urinary tract infection and obstruction.

DIAGNOSES

Computed tomography urography and cystoscopy confirmed left-sided ureteral triplication, with 1 malformed ureter containing a calculus and proximally occluded, and another merging with the normal ureter.

INTERVENTIONS

Laparoscopic surgery was performed to excise 2 malformed ureters (1 opening into the prostate and the other merging with the normal ureter), followed by reconstruction of the normal ureter and intraoperative placement of a double-J stent.

OUTCOMES

Postoperatively, no urinary leakage or infection occurred. Three-month follow-up demonstrated patent ureters, resolution of symptoms, and computed tomography urography-confirmed anatomical restoration.

LESSONS

Laparoscopic management is effective for complex ureteral anomalies, offering minimal invasiveness and rapid recovery. Individualized surgical strategies are critical for optimizing patient outcomes.