Limits...
Combined Y-shaped common channel transureteroureterostomy with Boari flap to treat bilateral long-segment ureteral strictures.

Chen CL, Tang SH, Cha TL, Meng E, Tsao CW, Sun GH, Yu DS, Chang SY, Wu ST - BMC Res Notes (2014)

Bottom Line: The renal function deteriorated during the follow-up period.However, the renal function still deteriorated.The patient recovered uneventfully.

View Article: PubMed Central - PubMed

Affiliation: Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, No,325, Section 2, Cheng-Kung Road, Taipei 114, Taiwan. gu2028@yahoo.com.tw.

ABSTRACT

Background: Ureteral stricture is a complication of several etiologies including idiopathic retroperitoneal fibrosis, infection, radiotherapy, instrumentation, and surgical procedures. A variety of techniques have been reported for management. The transureteroureterostomy and bladder flap have been the standard procedures for repairing distal ureteral defects of unilateral ureter. Bilateral ureteral stricture is an uncommon condition that challenges usual reconstructive procedures. It is a difficult task to reconstruct the complex situation of bilateral ureteral strictures.

Case presentation: A 54-year-old female underwent concurrent chemoradiotherapy for stage IVB squamous cell carcinoma of cervix. Subsequently, she had stricture of bilateral distal ureters with bilateral hydroureteronephrosis which was found by computed tomography. The renal function deteriorated during the follow-up period. She had periodic change of double-J stents and percutaneous nephrostomy. However, the renal function still deteriorated. We performed a combined Y-shaped common channel transureteroureterostomy with Boari flap to reconstruct bilateral long-segment ureteral strictures. The patient recovered uneventfully.

Conclusion: Reconstruction of bilateral ureteral strictures is a difficult treatment. We developed a modified technique for the complex situation of bilateral ureteral strictures. To our knowledge, this has not been previously reported in the scientific literature and it is a feasible procedure to treat bilateral long-segment ureteral strictures.

Show MeSH

Related in: MedlinePlus

Post-operative ultrasonography. Ultrasonography of kidney showed mild hydronephrosis on right kidney.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC4150947&req=5

Fig3: Post-operative ultrasonography. Ultrasonography of kidney showed mild hydronephrosis on right kidney.

Mentions: After operation, she recovered uneventfully and was discharged on postoperative day 7. We removed the two double-J catheters on the fourteenth postoperative day. 18 months latter, a follow-up sonography showed mild hydronephrosis on right kidney and the level of serum creatinine was 2.4 mg/dL (Figure 3).Figure 2


Combined Y-shaped common channel transureteroureterostomy with Boari flap to treat bilateral long-segment ureteral strictures.

Chen CL, Tang SH, Cha TL, Meng E, Tsao CW, Sun GH, Yu DS, Chang SY, Wu ST - BMC Res Notes (2014)

Post-operative ultrasonography. Ultrasonography of kidney showed mild hydronephrosis on right kidney.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4150947&req=5

Fig3: Post-operative ultrasonography. Ultrasonography of kidney showed mild hydronephrosis on right kidney.
Mentions: After operation, she recovered uneventfully and was discharged on postoperative day 7. We removed the two double-J catheters on the fourteenth postoperative day. 18 months latter, a follow-up sonography showed mild hydronephrosis on right kidney and the level of serum creatinine was 2.4 mg/dL (Figure 3).Figure 2

Bottom Line: The renal function deteriorated during the follow-up period.However, the renal function still deteriorated.The patient recovered uneventfully.

View Article: PubMed Central - PubMed

Affiliation: Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, No,325, Section 2, Cheng-Kung Road, Taipei 114, Taiwan. gu2028@yahoo.com.tw.

ABSTRACT

Background: Ureteral stricture is a complication of several etiologies including idiopathic retroperitoneal fibrosis, infection, radiotherapy, instrumentation, and surgical procedures. A variety of techniques have been reported for management. The transureteroureterostomy and bladder flap have been the standard procedures for repairing distal ureteral defects of unilateral ureter. Bilateral ureteral stricture is an uncommon condition that challenges usual reconstructive procedures. It is a difficult task to reconstruct the complex situation of bilateral ureteral strictures.

Case presentation: A 54-year-old female underwent concurrent chemoradiotherapy for stage IVB squamous cell carcinoma of cervix. Subsequently, she had stricture of bilateral distal ureters with bilateral hydroureteronephrosis which was found by computed tomography. The renal function deteriorated during the follow-up period. She had periodic change of double-J stents and percutaneous nephrostomy. However, the renal function still deteriorated. We performed a combined Y-shaped common channel transureteroureterostomy with Boari flap to reconstruct bilateral long-segment ureteral strictures. The patient recovered uneventfully.

Conclusion: Reconstruction of bilateral ureteral strictures is a difficult treatment. We developed a modified technique for the complex situation of bilateral ureteral strictures. To our knowledge, this has not been previously reported in the scientific literature and it is a feasible procedure to treat bilateral long-segment ureteral strictures.

Show MeSH
Related in: MedlinePlus