Generally short stenosis in the distal ureter is treated with ureteroureterostomy
and ureteroneocystostomy, in complicated forms of stenosis there is a need of advanced techniques, namely vesicopsoas hitch and Boari flap.
The traditional open surgical techniques such as end-to-end ureteroureterostomy
with or without psoas hitch or Boari flap for the iatrogenic ureteral injuries have shown the obvious drawbacks of relatively high rate of severe complications and poor vascular blood supply in the distal ureters .
Traditionally, the open surgical treatment of ureteric strictures included ureteroureterostomy
, ureteral re-implantation, +/- psoas hitch, +/- boari flap, +/renal decensus, ileal ureter, autotransplant, or nephrectomy.
Usually an ureteroureterostomy
in upper one third injuries or an ureteroneocystostomy with a Boari flap or psoas hitch, if required, for a tension free anastomosis, in middle third and lower one third, respectively, is carried out.
The aim of this report was to demonstrate the operative technique and assess outcomes of laparoscopic ureteroureterostomy
on 3 consecutive cases diagnosed with retrocaval ureter.
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
Pediatric robotic-assisted laparoscopic ipsilateral ureteroureterostomy
in a duplicated collecting system.
Herein, a retrocaval ureter case managed with laparoscopic ureteroureterostomy
Novel method for placement of a ureteral stent during laparoscopic ureteroureterostomy
Retroperitoneal laparoscopic ureteroureterostomy
for retrocaval ureter: report of 7 cases.
5] Reported management options include ureteral stent placement, open ureteroureterostomy
and renal autotransplantation.