An original surgical solution for complex stenosis of the distal ureter is presented. A young, single-kidney male patient developed a stricture of the pelvic ureter after ureteroscopy and laser lithotripsy. Surgical repair was planned after the failure of conservative management. The ureter was sectioned prevesically and spatulated; a bladder flap with the same dimensions of the ureteral plate was taken from the anterior wall, and used to augment the ureter; finally an omental flap was wrapped around the reconstructed tract. Further radiological and ureteroscopic controls showed a largely patent reconstructed ureter, and follow up proved a regularly maintained kidney function.

The bladder-flap ureteral augmentation: An original solution in case of complex distal stricture

Antonelli, Alessandro;Trabacchin, Nicolò
;
Monaco, Carmelo;Tafuri, Alessandro;Cerruto, Maria Angela
Supervision
;
2021

Abstract

An original surgical solution for complex stenosis of the distal ureter is presented. A young, single-kidney male patient developed a stricture of the pelvic ureter after ureteroscopy and laser lithotripsy. Surgical repair was planned after the failure of conservative management. The ureter was sectioned prevesically and spatulated; a bladder flap with the same dimensions of the ureteral plate was taken from the anterior wall, and used to augment the ureter; finally an omental flap was wrapped around the reconstructed tract. Further radiological and ureteroscopic controls showed a largely patent reconstructed ureter, and follow up proved a regularly maintained kidney function.
Bladder-flap
Innovative surgical technique
Ureteral augmentation
Ureteral stricture management
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11562/1078409
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