S S Chang1, M O Koch. 1. Department of Urologic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee 37232-2765, USA.
Abstract
PURPOSE: We demonstrated the effectiveness of an extended spiral bladder flap procedure for repair of upper ureteral injuries. MATERIALS AND METHODS: Two patients with extensive ureteral loss underwent repair with a modified bladder flap based posterolaterally on the affected side, spiraled anteriorly and inferolaterally toward the contralateral bladder base, and then anastomosed directly to the renal pelvis. RESULTS: With this technique renal function was preserved in both patients without obstruction on followup radiographs. CONCLUSIONS: Using this extended bladder flap technique a well vascularized urothelial repair can be achieved for upper ureteral injury in select patients.
PURPOSE: We demonstrated the effectiveness of an extended spiral bladder flap procedure for repair of upper ureteral injuries. MATERIALS AND METHODS: Two patients with extensive ureteral loss underwent repair with a modified bladder flap based posterolaterally on the affected side, spiraled anteriorly and inferolaterally toward the contralateral bladder base, and then anastomosed directly to the renal pelvis. RESULTS: With this technique renal function was preserved in both patients without obstruction on followup radiographs. CONCLUSIONS: Using this extended bladder flap technique a well vascularized urothelial repair can be achieved for upper ureteral injury in select patients.
Authors: Jan P Radtke; Nina Korzeniewski; Johannes Huber; Celine D Alt; Sascha Pahernik; Boris A Hadaschik; Markus Hohenfellner; Dogu Teber Journal: Langenbecks Arch Surg Date: 2017-01-16 Impact factor: 3.445