Resection in close proximity to the bladder may be repaired by ureteroneocystostomy
with or without psoas hitch, (30,39,40) whereas resection of more proximal ureter may be repaired using Boari flap, ileal interposition, or auto-transplantation.
We usedstented extravesical ureteroneocystostomy
by Lich- Gregoir technique which has been associated with significantly fewer urinary tract infections as compared to intravesical ureteroneocystostomy
and is preferable because of its surgical simplicity12.
Pelvic CT and cystoscopy did not provide any diagnostic information; however, uneven thickening of the bladder wall caused suspicion of a neoplastic lesion, resulting in surgical excision including transurethral resection and ureterectomy with ureteroneocystostomy
. Postoperative recovery is good and close follow-up is recommended after discharge because of the possibility of malignancy, with an estimated recurrence rate of up to 54% .
One patient who underwent laparoscopic ureteroneocystostomy
due to chronic pelvic inflammatory disease and one patient who underwent open ureteroneocystostomy
due to urinary tuberculosis were reported to have recurrent stenosis during the follow up.
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.
Slightly over half had ureteroneocystostomy
while close to one-third had both ureteroneocystostomy
and fistula repair.
: A 30-year experience.
The majority of cases (24 cases) were subjected to ureteroneocystostomy
by Modified Lich-Gregoir technique.
She underwent ureteroneocystostomy
to repair the damage.