Affordable Access

Publisher Website

Ureteral Replacement with Reconfigured Colon Substitute

Authors
Journal
The Journal of Urology
0022-5347
Publisher
Elsevier
Publication Date
Volume
155
Issue
5
Identifiers
DOI: 10.1016/s0022-5347(01)66166-4

Abstract

Abstract Purpose Upper ureteral defects are often too extensive to repair by direct anastomosis or with use of a bladder flap. Ureteral substitution may be the only remaining alternative to restoring urinary drainage from the kidney to the bladder. This effect is usually achieved by interposing a segment of small bowel between the proximal collecting system and bladder. If ileum is not available other substitution alternatives must be sought. Materials and Methods We report a new technique in which a tube constructed from a small piece of ascending colon was used to replace a large ureteral defect. Results Excellent short-term results were achieved by replacing the strictured ureteral segment with a reconfigured colon segment as shown by symptomatic and radiographic improvement. Conclusions A reconfigured colon segment can be used for ureteral reconstruction in the patient with limited alternatives. This tube has several advantages for ureteral reconstruction over ileal segments.

There are no comments yet on this publication. Be the first to share your thoughts.