Surgical treatment of long ureteral strictures
- Authors: Komyakov BK1, Guliev BG1
-
Affiliations:
- Issue: No 6 (2003)
- Pages: 36-40
- Section: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/275062
- ID: 275062
Cite item
Full Text
Abstract
The paper reviews experience, specific features and outcomes of surgical treatment of 115 patients (60 males, 55 females) with long strictures and defects of the ureter. Renal and ureteral malformations, acquired strictures were detected in 14 (12.2%) and 101 (87.8%), respectively. The following reconstructive operations were made in 102 patients: ureterocalicoanastomosis by Neuvert (n = 3), specially designed original plastic repair of the lumbar ureter (n = 3), ureterolysis (n = 7), indirect ureterocystoanastomosis (n = 39), appendicoureteroplasty (n = 2), intestinal plastic reconstruction of the ureters and urinary bladder (n = 43), autotransplantation of the kidney (n = 3). Postoperative complications developed in 13 (11.3%) patients. No lethal outcomes occurred. Urinary tracts improved hemodynamics in all the patients. Recovery of ureteral passage in its long strictures necessitates atypical surgery. These were listed above. The proposed method of lumbar ureter replacement by mobilization and raising urinary bladder wall together with relevant ostium and pelvic ureter is perspective.
References
- Кан Д. В. Руководство по акушерской и гинекологической практике. М.: Медицина; 1986.
- Лоран О. Б., Годунов Б. Н., Зайцев А. В. и др. Повреждения органов мочевой системы при эндоскопических операциях в гинекологии. Акуш. и гин. 2000; 1: 19-22.
- Переверзев А. С. Клиническая урогинекология. Харьков: Факт; 2000.
- De Toledo A. F., Carvalhal G. F. Gastroureteroplasty in a woman with bilateral ureteric strictures after pelvic radiotherapy. Br. J. Urol. Int. 2000; 86 (4): 565.
- Хомяков Б. К., Новиков А. И., Короходкина М. В., Гулиев Б. Г. Замещение тазового отдела правого мочеточника червеобразным отростком. Урология 2002; 1: 65-66.
- Bartoletti R., Giassarrini О., Nerozzi S. et al. Vermiform appendix autotransplantation for mid-ureter substitution. Eur. Urol. (suppl.) 2002; 1 (1): 103.
- Junta S., Nickel J. Appendix interposition of the ureter. J. Urol. (Baltimore) 1990; 144 (1): 130-131.
- Ubrig В., Waldner M., Roth S. Reconstruction of ureter with transverse retubularized colon segments. Ibid. 2001; 166 (3): 973-976.
- Карпенко В. С. Кишечная пластика мочеточников в лечении приобретенных обструктивных уретерогидронефрозов. Урология 2001; 1: 3-6.
- Лопаткин Н. А., Шевцов И. П. (ред.) Оперативная урология. Л.: Медицина; 1986.
- Frank J. J., Smith J. A. Surgery of the ureter. In: Walsh P. С. et al. Campbell's urology. 7-th ed.; 1998. 3062-3084.
- Kochakarn W., Tirapanich W., Kositchaiwat S. Ileal interposition for the treatment of a long gap ureteral loss. J. Med. Assoc. Thai. 2000; 83 (1): 37-41.
- Turner-Warwick R., Chappie C. R. Functional reconstruction of the urinary tract and gynaeco-urology. Oxford: Blackwell Science Ltd; 2002.
Supplementary files
