Article

Pelvic Ureteral Injuries Treated by Transureteroureterostomy

Authors: MAJ RONALD C. ALLISON MC, USAF, ROBERT K. RHAMY MD

Abstract

AbstractPelvic ureteral injury, such as surgical injury, radiation-induced strictures, and inflammatory or neoplastic obstruction, is a difficult management problem. Eleven such cases were treated by transureteroureterostomy. A good result ws obtained in nine cases. The success rate of this treatment is compared with that of alternative methods, such as nephrectomy, ureteral reimplantation, ureterostomy, ureteral reanastomosis, bladder flap, psoas bladder hitch, ileal interposition, and ligation of the ureter as described in other review series. Transureteroureterostomy is advised as the preferred treatment for a damaged ureter that cannot be reimplanted.

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References