Non-transecting anastomotic ureteroplasty

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Abstract

Ureteral stricture is a significant issue which requires surgical reconstruction in most cases. The main determining factors for the reconstruction type are the length and location of the stricture. The individual steps for each procedure are significantly different, thus the scenario is predetermined regardless of intraoperative data. Preoperative assessment of the stricture length is based on X-ray data. However, it is not always correct and surgeon may encounter a situation where the planned reconstruction turns out to be suboptimal.

This clinical case demonstrates intraoperative conversion from planned augmentation to end-to-end anastomosis after longitudinal incision of the ureter and visual assessment of the stricture length.

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About the authors

Ibragim E. Mamaev

Pirogov Russian National Research Medical University, Ministry of Healthcare of Russia; GBUZ “Moscow City Clinical Hospital named after V.M. Buyanov”

Author for correspondence.
Email: dr.mamaev@mail.ru
ORCID iD: 0000-0002-5755-5950

Ph.D., Head of the Department of urology, Assistant professor of the Department of Urology

 

Russian Federation, Moscow; Moscow

Kirill A. Dolomanov

GBUZ “Moscow City Clinical Hospital named after V.M. Buyanov”

Email: dolomanovkirill@gmail.com
ORCID iD: 0000-0001-7957-6421

urologist at the urology department

Russian Federation, 115560, Moscow, Bakinskaya st., 26

Sergey V. Kotov

Pirogov Russian National Research Medical University, Ministry of Healthcare of Russia

Email: urokotov@yandex.ru
ORCID iD: 0000-0003-3764-6131

Ph.D., MD, professor, Head of the Department of Urology and Andrology

Russian Federation, 117997, Moscow, st. Ostrovityanova, 1

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Supplementary files

Supplementary Files
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2. Fig. 1. Ante-retrograde ureterogram

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3. Fig. 2. Intraoperative picture. Ureteral stricture area

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4. Fig. 3. Intraoperative picture. View after excision of the altered mucosa.

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5. Fig. 4. Intraoperative picture. Application of a matching U-shaped suture.

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6. Fig. 5. Intraoperative picture. The internal stent is passed through the reconstruction zone.

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7. Fig. 6. Intraoperative picture. View of the ureter after suturing.

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8. Fig. 7. Antegrade pyeloureterogram on the 2nd day after stent removal

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