Endoscopic ureteroneocystostomy for post-transplantation ureterovesical junction stenosis.
We report a new technique for the management of ureterovesical junction stenosis in a renal transplant recipient. Endoscopic retrograde resection of a bladder window permitted direct retroperitoneal vision and longitudinal incision of the distal ureter. Ureteral and bladder mucosa were in close proximity and were stabilized with a double-J catheter. This alternative transmural transvesical ureteroneocystostomy had minimal morbidity and may be an alternative to traditional open surgical repair of these lesions.
Best
C D
CD
Department of Surgery, University of California, San Francisco.
Bolton
D M
DM
Bretan
P
P
Stoller
M L
ML
D000328:Adult; D003251:Constriction, Pathologic; D003558:Cystoscopy; D003559:Cystostomy; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D011183:Postoperative Complications; D011859:Radiography; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D018666:Ureteroscopy; D014519:Ureterostomy; D001745:Urinary Bladder Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*