A case of ileal ureter with proximal antireflux system.
BACKGROUND
The initial experience of constructing a new antirefluxing valve at the uretero-ileal junction with ileal substitution is reported.


METHODS
A new antirefluxing valve was constructed at the uretero-ileal junction with ileal substitution by fixing the distal part of the ureter between the psoas muscle and ileal segment (the ileo-psoas tunnel technique).


CONCLUSIONS
The valve created by the technique has been working effectively for preventing the ileo-ureteral reflux. Pre-operative hydronephrosis was improved and the renal function has been well preserved.


CONCLUSIONS
The ileo-psoas tunnel technique is worthwhile when ileal substitution of the ureter is indicated.
Department of Urology, Shinshu University School of Medicine, Matsumoto, Japan.
H
H
Kato
H
H
Abol-Enein
Y
Y
Igawa
O
O
Nishizawa
M A
MA
Ghoneim
D002295:Carcinoma, Transitional Cell / Q000601:surgery; D018572:Disease-Free Survival; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000601:surgery; D007082:Ileum / Q000000981:diagnostic imaging / Q000601:surgery; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014516:Ureteral Neoplasms / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods*