Lower ureteric reimplantation and psoas hitch repair

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Robot-assisted laparoscopic distal ureterectomy and ureteral reimplantation with psoas hitch.

For midureteral and distal-ureteral tumors not amenable to endoscopic resection, distal ureterectomy with ureteral reimplantation is a treatment option. When ureteral length is insufficient for direct reimplantation, additional length can be gained with either a psoas hitch or a Boari flap. We describe our technique for robot-assisted laparoscopic distal ureterectomy and ureteral reimplantation...

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Robotic-assisted ureteral reimplantation with Boari flap and psoas hitch: a single-institution experience.

Robotic-assisted ureteral reimplantations were performed on 3 patients at a single institution, 2 with Boari flap and psoas hitch and 1 with psoas hitch alone. These were for urothelial carcinoma of the distal ureter, ureteral obstruction caused by distal ureteral endometriosis, and ureteral transaction during gynecologic surgery. We used intraoperative ureteroscopy to confirm tumor margins as ...

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Modified laparoscopic intravesical nonrefluxing ureteral reimplantation with psoas hitch using a submucosal tunneling

We aimed to study the safety and efficacy of the cystoscopy-assisted nonrefluxing ureteral reimplantation technique using submucosal tunneling during laparoscopic ureteroneocystostomy (UNC) with a psoas hitch in patients with distal ureter stricture after gynecologic surgery. We reviewed six female patients who underwent gynecological surgeries. All patients showed persistent postoperative dist...

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Ureteral Reimplantation with Psoas Bladder Hitch in Adults: A Contemporary Series with Long-Term Followup

We retrospectively evaluated our experience with ureteral reimplantation and psoas bladder hitch to restore urinary tract continuity in patients with lower ureteral defects, since long-term data on the outcomes of this procedure have been relatively scarce in the last two decades. The procedure was performed in 24 patients (7 male, 17 female) with a mean age of 54.6 years. The mean ureteral def...

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Psoas hitch and Boari flap ureteroneocystostomy.

Introduction In the middle of the last century, Dolff [1], Paquin [2] and Zimmermann et al. [3] developed principles for ureteroneocystostomy after gynaecological ureter injuries. Turner-Warwick and Worth [4] adopted these techniques, named it the ‘Psoas Bladder-Hitch Procedure’ and applied this technique of ureteroneocystostomy for the treatment of distal ureteric obstruction, ureteric fistula...

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ژورنال

عنوان ژورنال: European Urology Open Science

سال: 2020

ISSN: 2666-1683

DOI: 10.1016/s2666-1683(20)34276-2