Bilateral ureteral tapering and secondary ureteroneocystostomy for late stenosis in a patient with bladder extrophy.
نویسندگان
چکیده
OBJECTIVE To report a case of severe hydronephrosis 20 years after bladder exstrophy (BE) repair, managed by bilateral ureteral tapering and secondary ureteroneocystostomy. CASE PRESENTATION A 21-year-old woman with a history of BE and ureteral reimplantation, presented with hematuria-dysuria syndrome and recurrent febrile urinary tract infections. After counselling, she elected to undergo bilateral ureteral tapering and second ureteroneocystostomy. CONCLUSION Hydronephrosis secondary to ureteralvesical stricture in BE patients can be successfully managed with ureteral reimplantation associated to ureteral tapering even after a prior reimplantation.
منابع مشابه
معرفی روش جدید یورترونئوسیستومی در بیماران پیوندی
Background & Aims: Renal transplantation is the choice of treatment for chronic renal failure. Applying suitable ureterovesical anastomosis technique can prevent most risks for kidney graft. Extravesical ureteroneocystostomy is becoming popular in renal transplantation because of the low complication rate and technical ease. This decrease in complication was due to limited bladder dissection an...
متن کاملLaparoscopic conservative management of ureteral endometriosis: a survey of eighty patients submitted to ureterolysis
BACKGROUND this study aims to evaluate the effectiveness and safety of laparoscopic conservative management of ureteral endometriosis. METHODS Eighty cases of histologically confirmed endometriosis affecting the ureter, 10 of which with bladder involvement were prospectively studied. In detail, patients were 13 women with ureteral stenosis (7 with hydronephrosis), 32 with circular lesions tot...
متن کاملSurgical Repair of Iatrogenic Ureteral Injury Secondary to Gynecologic Surgery
Operative injuries to the urinary tract are common during the course of gynecological surgery due to close development and proximity of the urogenital organ systems. Its incidence is low but ureteric injury may have serious implications in terms of morbidity. The retrospective and descriptive study was carried out in the urological department of Clinical Hospital "Prof.Dr.Theodor Burhele", Buch...
متن کاملLaparoscopic distal ureterectomy and Boari flap ureteroneocystostomy for a low-grade distal ureteral tumor.
Received October 2007 Accepted March 2008 INTRODUCTION Boari flap construction and ureteroneocystostomy is an appropriate technique for repairing the injuries in the distal ureter that result in shortening of the ureter.(1) We report the use of laparoscopic distal ureterectomy consisting resection of the bladder cuff and Boari flap construction in a patient with low-grade transitional cell carc...
متن کاملLaparoscopic ureteral repair in gynaecological surgery.
PURPOSE OF REVIEW To review laparoscopic surgery in the treatment options for ureteral lesions in gynaecological surgery. RECENT FINDINGS Laparoscopic treatment of ureteral injuries has been increasingly reported over the past years. Treatment has progressively shifted from ureteroneocystostomy performed by laparotomy to less invasive treatment options such as ureteral stenting or dilatation ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Current urology
دوره 6 4 شماره
صفحات -
تاریخ انتشار 2013