A retrospective survey of surgical databases of three instutions for ureteroneocystostomy
revealed 32 open cases and 29 laparoscopic cases from December 2008 to December 2014.
Despite various described techniques for treating VUR, such as invasive endoscopic injection and minimally invasive surgery, conventional open ureteroneocystostomy
is the gold standard in VUR treatment.
In this study, 67% underwent psoas hitch and ureteroneocystostomy
, 11% needed psoas hitch with ureteroneocystostomy
and left ureterolysis, 11% underwent Boari flap with ureteral reimplantation and psoas hitch and 11% needed DJ Stenting for stricture followed by ureteral reimplantation with psoas hitch that was done after one year.
The remainder of the volume's 175 chapters are organized into sections covering surgical approaches to the kidney, kidney reconstruction, the adrenal gland, ureteroneocystostomy
, operations for ureteral duplication, approaches to the bladder, bladder reconstruction, noncontinent urinary diversion, catheterizable continent channels, bladder augmentation, continent urinary diversion, testes reconstruction, testis exclusion, groin reconstruction, principles of hypospadias repair, hypospadias operations, penile reconstruction, genital repair, and the urethra.
Alternatives to a stent include primary ureteroneocystostomy
using a Boari flap or psoas hitch.
1) Reconstruction of the distal ureter is relatively easy due to its proximity to the bladder, which allows the use of ureteroneocystostomy
as a definitive therapy.
Tripi et al (11) in their double blind prospective study on children undergoing ureteroneocystostomy
concluded that addition of clonidine to bupivacaine significantly increase the duration of caudal analgesia.
Keywords: Ureteric injury, Incontinence, Ureteroneocystostomy
was performed simultaneously in 3 patients with high-grade vesicoureteral reflux.
Also, in one case, ureteroneocystostomy
was applied due to ureter evulsion.
Repair of major injury to the pelvic ureter is generally best accomplished by ureteroneocystostomy
or, in selected cases involving injury to the proximal pelvic ureter, by ureteroureterostomy.