[Merits of interureteral anastomosis in the treatment of unilateral extensive non-neoplastic lesions of the pelvic ureter in adults].
The authors intend to set out the merits of interureteral anastomosis for unilateral extensive lesions of the pelvic ureter. In order to achieve a good homogeneity on one hand and a greater distance in time (8 and 12 years in two cases) on the other hand, they decided to confine their study to the non-neoplastic lesions of adult patients, which are most often iatrogenic. This brief analysis shows that interureteral anastomosis is simpler than ureteroileoplasty when ureterovesical plasty is impossible (psoic, bladder tubulization). Contrary to a widespread opinion, itl does not seriously jeopardize the receiving, ie. normal, urinary tract. The chances of salvage of the initially threatened upper urinary tract are considerable (at least 75 to 80%). The production of an ureteroureteral reflux is a negligible risk, as is the spread of an infection towards the normal kidney. Of course, these good results can be achieved only with an accurate, minutious procedure, of which the authors describe the essential features. The stability of the results is confirmed by the long period elapsed in some cases.
Viville
C
C
Service d'Urologie, clinique Bethesda, Strasbourg.
Mezrahid
P
P
D000368:Aged; D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D008297:Male; D011182:Postoperative Care; D014513:Ureter / Q000601:surgery*; D014515:Ureteral Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D014567:Urography
Intérêt de l'anastomose inter-urétérale (AIU) dans le traitement des lésions étendues unilatérales non néoplasiques de l'uretère pelvien chez l'adulte.