BACKGROUND: The initial experience of constructing a new antirefluxing valve at the uretero-ileal junction with ileal substitution is reported. METHODS: A new antirefluxing valve was constructed at the uretero-ileal junction with ileal substitution by fixing the distal part of the ureter between the psoas muscle and ileal segment (the ileo-psoas tunnel technique). DISCUSSION: The valve created by the technique has been working effectively for preventing the ileo-ureteral reflux. Pre-operative hydronephrosis was improved and the renal function has been well preserved. CONCLUSION: The ileo-psoas tunnel technique is worthwhile when ileal substitution of the ureter is indicated.
BACKGROUND: The initial experience of constructing a new antirefluxing valve at the uretero-ileal junction with ileal substitution is reported. METHODS: A new antirefluxing valve was constructed at the uretero-ileal junction with ileal substitution by fixing the distal part of the ureter between the psoas muscle and ileal segment (the ileo-psoas tunnel technique). DISCUSSION: The valve created by the technique has been working effectively for preventing the ileo-ureteral reflux. Pre-operative hydronephrosis was improved and the renal function has been well preserved. CONCLUSION: The ileo-psoas tunnel technique is worthwhile when ileal substitution of the ureter is indicated.
Authors: Abhishek Singh; Deval Parikh; Pavan Prabhakar Surwase; Shashank Agrawal; Arvind Ganpule; R B Sabnis; M R Desai Journal: Indian J Urol Date: 2021-10-01