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.
Keywords: laparoscopic; ureteral tailoring; ureteral triplication.
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