Psoas-bladder hitch procedure: our experience with repair of the injured ureter in men.
Nine patients with injury to the pelvic portion of the ureter successfully underwent the psoas-bladder hitch procedure and tunnelization as an antireflux measure. Of these 9 patients 1 had a Boari bladder wall flap next to the hitch procedure to further elongate the posterolateral corner of the bladder and to bridge a ureteral defect more than 5 cm. Postoperatively, 2 patients had ureteral reflux on the side of repair and 1 had reflux on the opposite side, which was caused by excision of the bladder tumor and damage of the muscle layers backing the undamaged ureter.
D000368:Aged; D004240:Diverticulum / Q000601:surgery; D006801:Humans; D008297:Male; D009132:Muscles / Q000601:surgery*; D011704:Pyelonephritis / Q000601:surgery; D012092:Replantation; D013514:Surgical Procedures, Operative / Q000009:adverse effects*; D014513:Ureter / Q000293:injuries*; D001743:Urinary Bladder / Q000601:surgery*; D001745:Urinary Bladder Diseases / Q000601:surgery; D014548:Urinary Fistula / Q000601:surgery; D014566:Urogenital System / Q000033:anatomy & histology; D014718:Vesico-Ureteral Reflux / Q000601:surgery