If retrograde pyelography shows a transection or injury from a crushing clamp or sealing device, we recommend ureteroureteral
anastomosis or urethral neocystostomy depending on the extent and location of the injury.
Wroclawski, "Retroperitoneoscopic surgery with extracorporeal ureteroureteral
anastomosis for treating retrocaval ureter," International Brazilian Journal of Urology, vol.
This method allowed us to place the ureteral stent without changing the patient's position during laparoscopy, which has been done by other authors.[sup.8] Ureteroureteral anastomosis, with dissection of the distal intramural ureter to obtain a distal stump of more than 1 cm, has not been previously described in the literature because, in most cases, a ureteral re-implantation has been performed when there is no portion of the distal ureter that is large enough for end-to-end anastomosis.[sup.2,3,9] Intramural ureter dissection using a ureteral stent for guidance is simple and straightforward; we can collect up to 1 cm of viable and healthy distal ureter, facilitating end-to-end anastomosis.
Laparoscopic ureteroureteral anastomosis for distal ureteral injuries during gynecologic laparoscopic surgery.
anastomosis for repair of ureteral injury involving stricture.
Standart surgical correction involves excision of the retrocaval segment with relocation and ureteroureteral
or ureteropelvic reanastomosis.