Ureteroneocystostomy by means of a modified triangular flap method.
A modified triangular flap method of ureteroneocystostomy is described. This method was used in 19 cases (21 ureters) requiring ureteroneocystostomy owing to various diseases. The patients have been followed postoperatively for 1 to 9 years. Our method is more simple than the original method described by Girgis and provides good results. Postoperative complications could be reduced or prevented by gentle manipulation of the ureter and bladder wall and by careful placement of the intravesical ureter into the incised ditch of the bladder floor, loosely anastomosed with interrupted surfaces 5 mm. apart. Dilated hydroureters without peristalsis and/or severe degenerative changes of the bladder wall involving the muscle layer are poor indications for the application of this method.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014513:Ureter / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*