Introduction M. Lezrek

Introduction and Objectives:

For percutaneous endopyeloplasty, we perform endoscopic sutures using a needle holder through the nephroscope and a conventional suture. We present a video of our initial experience of with the same technique, for the sealing of the ureteral orifice and bladder suturing during “pluck” transurethral detachment of the intramural ureter, in the first part of nephroureterectomy.

Material and Methods:

We present the feasibility of endoscopic bladder suturing in 70-years-old woman, with transitional cell carcinoma of the left renal pelvis and upper calyxes; diagnosed by ultrasound and CT-scan for gross hematuria. Retrograde flexible ureteroscopy and biopsy confirmed the carcinoma. The study was approved by the hospital ethical committee. After informed consent, the patient underwent an endoscopic closing of the ureteral orifice before the intramural ureter is detached in the first part of nephroureterectomy. Then, the bladder is sutured after ureteral detachment.