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(Grade 3b) was detected in the laparoscopy group and managed by ureteroscopy to remove the obstruction under general anesthesia. Significant differences were found in operative time (P = .01) and postoperative hospital stay (P = .01), while medical expenses were similar between the two groups (P = .42). No malignant pathologic findings were observed in biopsied specimens. During follow-up, no recurrence was detected in CT scans. Conclusion In the management of parapelvic cysts, two minimally invasive surgeries were comparab