THE RESULTS OF INTESTINOPLASTY OF URETERS


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The article presents the immediate and long-term results of intestinoplasty of extensive uretral obstructions. From 2001 to 2012, 47 patients underwent intestinoplasty, and 3 patients - sigmoureteroplasty. 33 patients (66%) had unilateral lesions, and 17 (34%) - bilateral lesions. Postoperative complications occurred in 14% of cases. Early complications occurred in 6 (12%), late complications - in 1 (2%) patient. Complications requiring surgery occurred in 3 (6%) patients. The results of re-operations were successful. Deaths were not recorded. The observation period ranged from 3 months to 11 years. All patients achieved the restoration of urodynamics and normalization of kidney function. Intestinoplasty in extensive uretral obstruction is the operation of choice, as it allows to restore the flow of urine from the kidney, improves its function, arrests the chronic pyelonephritis and rescues patients from permanent renal and ureteral fistulas.

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