TL;DR: The results of this study indicate that in women there may be an association between abnormal renal mobility and the development of high blood-pressure.
TL;DR: Laroscopic nephropexy is safe and effective in the select group of patients in whom nephraptosis is indicated and superior to the open approach except for operative time.
TL;DR: This is the first report to the authors' knowledge of a successful laparoscopic nephropexy performed in a 25-year-old woman with intractable pain and a palpable pelvic mass associated with right nephROptosis for more than 1 year.
Abstract: Laparoscopic nephropexy was performed in a 25-year-old woman with intractable pain and a palpable pelvic mass associated with right nephroptosis for more than 1 year. Evaluation by a supine and an erect intravenous urogram (IVU) revealed right renal descent of three vertebral bodies with mild hydronephrosis. Laparoscopic transperitoneal nephropexy was performed in a 2 and a half hour procedure. The patient stayed in the hospital 2 days postoperatively and returned to full activities 3 weeks later. At 2 months postoperatively, she is asymptomatic. An upright IVU2 months postoperatively revealed renal descent of only one vertebral body and no hydronephrosis. This is the first report to our knowledge of a successful laparoscopic nephropexy.
TL;DR: Laroscopic nephropexy appears to be a feasible treatment option for patients with symptomatic, documented nephraptosis and can be accomplished safely and effectively with satisfactory anatomical and clinical results.
TL;DR: In this paper, recently trained physicians are often unfamiliar with nephroptosis, once a routine operation, almost disappeared from American practice more than 2 decades ago. In view of this, the authors propose to train physicians to be familiar with the disease.