Kolkata, Apr 23: In a remarkable display of surgical precision, RG Stone Urology & Laparoscopy Hospital, Kolkata, has successfully managed a complex case of PUJ (Pelvi-Ureteric Junction) obstruction in a horseshoe kidney with severe hydronephrosis, restoring the patient’s health and preventing further complications. The procedure was led by Dr Zeeshan Rahman, Consultant – Urology, and a skilled OT team, resulting in successful outcomes despite the challenging anatomical condition.
The patient presented with persistent pain in the left flank region. Clinical evaluation and NCCT KUB revealed gross hydronephrosis of the left moiety of a horseshoe kidney, an uncommon congenital condition associated with distorted renal anatomy. Further findings identified a crossing vessel causing the obstruction, making the case surgically demanding and requiring precise intervention.
Dr. Zeeshan Rahman, Consultant Urology, RG Stone Urology & Laparoscopy Hospital, Kolkata, said,
“Managing PUJ obstruction in a horseshoe kidney requires careful planning due to altered anatomy and vascular variations. In this case, preserving the crossing vessel while relieving the obstruction was essential to ensure long-term kidney function and patient safety.”
The patient underwent laparoscopic pyeloplasty with DJ stenting under general anaesthesia. Despite the case’s complexity, the minimally invasive approach was successfully performed, providing relief from obstruction while preserving the crossing vessel. The surgery was completed without complications, demonstrating advanced laparoscopic expertise.
Dr. Zeeshan Rahman added,
“Minimally invasive techniques allow us to manage even complex urological conditions effectively, ensuring faster recovery and reduced postoperative discomfort. With precise execution, we were able to achieve an optimal outcome in this challenging case.”
Following the procedure, the patient showed excellent recovery and was discharged in a stable condition on the third postoperative day, with significant relief from symptoms.
This case highlights RG Stone Urology & Laparoscopy Hospital, Kolkata, expertise in managing rare and complex urological conditions using advanced minimally invasive techniques. The successful preservation of the crossing vessel along with effective resolution of obstruction underscores the hospital’s commitment to clinical excellence and patient-centric care.
