[Ureteral reimplantation using the psoas bladder-hitch. Experience based on 111 operations in 100 patients].
In a 12-year period we performed 111 ureteral reimplantations with vesico-psoas hitch in 100 patients. The indication was a stricture of the lower third of the ureter in 51 ureters, vesicoureteral reflux in 31 ureters, and intraoperative laceration of the ureter in 25 patients. A congenital megaureter was the indication for ureteral reimplantation with psoas hitch in 4 cases. The operative result was classified excellent or good in 72% of the cases, and only 16% had to be regarded as operative failures. Ureteral reimplantation with vesico-psoas hitch is a versatile procedure that suits a number of indications, it is invaluable for the replacement of the lower third of the ureter in difficult cases, and it leads to a good long-term result in a high percentage of patients.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D006801:Humans; D008875:Middle Aged; D012092:Replantation; D014513:Ureter / Q000002:abnormalities / Q000601:surgery; D014517:Ureteral Obstruction / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery; D014547:Urinary Diversion / Q000009:adverse effects / Q000379:methods*; D014718:Vesico-Ureteral Reflux / Q000601:surgery
Harnleiterreimplantation mit Psoaszipfelblase. Erfahrungen anhand von 111 Eingriffen bei 100 Patienten.