Laparoscopic Bilateral Detrusorraphy for Bilateral Vesicoureteric Reflux

Introduction: Vesicoureteric reflux may present at any age. Urinary tract infection at any age needs investigation. Bilateral reflux with urinary tract infection in adults may need intervention. We present the video of laparoscopic bilateral detrusorraphy done in a patient with bilateral reflux and recurrent urinary tract infection. The run time of the video is 6 minutes and 44 seconds. Materials and Methods: A 28-year-old lady presented with recurrent urinary tract infection. She was evaluated and found to have bilateral Grade 3 vesicoureteric reflux. Under general anesthesia, using five ports, ureters were dissected bilaterally up to the bladder. Detrusorraphy was done bilaterally by wrapping the detrusor over the ureter near the ureterovesical junction. Port sites were closed after ensuring hemostasis. Results: The operative time was 200 minutes and the blood loss was around 100 mL. Patient had a 3-day postoperative stay in the hospital. Postoperative voiding cystourethrogram showed no reflux. Conclusion: Laparoscopic bilateral detrusorraphy is a feasible and effective treatment option for patients with bilateral vesicoureteric reflux. No competing financial interests exist. Runtime of video: 6 mins 44 secs