In our group, we perform ureterolysis
for extrinsic disease.
for the ureter obstruction is controversial due to the difficult dissection and high morbidity and mortality rates with open surgery (2, 9).
When the pouch of Douglas (rectovaginal space) is obliterated by a tumor, severe adhesions or endometriosis, the surgeon should primarily open the retroperitoneal space, find the ureter, and after ureterolysis
the pararectal space should be developed to dissect the rectum from the vagina and open the rectovaginal space.
The distribution of the operations was as follows: 240 radical prostatectomies, 52 partial nephrectomies, 28 radical cystectomies and urinary diversions, 6 pyeloplasties, 5 ureteroneocystostomies, 3 radical nephroureterectomies, 3 retroperitoneal lymph node dissections, 2 partial ureterectomies, 1 radical nephrectomy, 1 ureterolysis
and 1 cystoplasty (Mitrofanoff).
Our minimally invasive gynecologic surgery (MIGS) team has utilized minilaparoscopy for diagnostic laparoscopy; lysis of adhesions; treatment of stage I, II, and occasionally stage III endometriosis; ovarian cystectomy; ureterolysis
; presacral neurectomy; and total laparoscopic hysterectomy--as has our guest author Steven McCarus, MD.
The basic steps of reimplantation are ureterolysis
, creation of a new ureteral tunnel, the ureteral advancement, and anastomosis of the ureter with the bladder.
The initial step of treatment when ureteral involvement is present may include ureterolysis
. Nezhat et al.
Laparoscopic excision of endometriosis, bilateral ureterolysis
, bilateral excision of endometrioma, and insertion of a Mirena[C] intrauterine device were performed.
Laparoscopic biopsy and ureterolysis
in Erdheim-Chester disease.
Robot-assisted laparoscopic ureterolysis
: Case report and literature review of the miniomally invasive surgical approach.
No = 1 with left ureterolysis
, ceftriaxone, and Yes = 1 metronidazole Type: copper IUD Complete recovery Ceftriaxone and Metronidazole, subsequent laparotomy, left salpingo- oophorectomy, penicillin, and amoxicillin Complete recovery Definitive Number of cases Reference diagnosis Age (years) Actinomycosis organisms 3 2014, Wan Actinomyces sp.
The surgical sequel resulted in modified radical hysterectomy, ureterolysis
, resection of left and right tubo-ovarian abscess complexes, rectosigmoid resection with end-sigmoid colostomy and Hartmann's pouch, and ileocolic resection with a primary anastomosis.