[Extensive ureteral lesions: management with substitution with small intestine].
Wide ureteral injuries are unusual but not exceptional and have few conservative therapeutic options, specially those that involve the upper ureter. Autotransplantation, ureteral substitution by intestine and combined Boari bladder flap-psoas bladder hitch are basically the only chances to avoid nephrectomy. In this paper we report five cases in which ileum was used to substitute the ureter and review the most outstanding literature about this subject.
Servicio de Urología, Hospital Universitario San Cecilio, Granada.
J
J
Sánchez Tamayo
J L
JL
Martínez Torres
A
A
de la Fuente Serrano
M
M
Nogueras Ocaña
A
A
Jiménez Verdejo
A
A
Zuluaga Gómez
D000328:Adult; D005260:Female; D006801:Humans; D007082:Ileum / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D014513:Ureter / Q000293:injuries* / Q000601:surgery*; D014515:Ureteral Diseases / Q000601:surgery*
Lesiones ureterales extensas: manejo mediante sustitución por intestino delgado.