[One-stage operation of ureteropelvic junction and ureterovesical junction stricture].
One-stage surgical management for ureteropelvic (UP) and ureterovesical (UV) strictures is reported. A 3-year-old boy with UP and UV strictures on left side, underwent nephrostomy at 4 months old. The plastic operations which were Anderson-Hynes method for UP stricture and submucosal tunnel method with tailoring of dilated ureter for UV stricture were performed at the same time. The post-operative intravesical pyelogram and renal scintigraphy showed the improvement of hydronephrosis. Many authors have described two-stage operations for such cases. Our findings revealed that one-stage operation, carefully preserving the blood supply to the ureter, would be an alternative surgical management for UP and UV strictures.
Department of Urology, Tokushima University School of Medicine.
Y
Y
Sumiyoshi
T
T
Inai
H
H
Takigawa
K
K
Hiraishi
D002675:Child, Preschool; D003251:Constriction, Pathologic; D006801:Humans; D006869:Hydronephrosis / Q000151:congenital / Q000601:surgery*; D007682:Kidney Pelvis / Q000473:pathology; D008297:Male; D008722:Methods; D014515:Ureteral Diseases / Q000151:congenital / Q000601:surgery*; D001743:Urinary Bladder / Q000473:pathology