[Ureteral replacement with non-modelled isoperistaltic ileoplasty].
OBJECTIVE
To study the long-term morbidity and efficacy of ureteroileoplasty in a retrospective series of 18 patients.


METHODS
12 men and 6 women with a mean age of 50 years underwent ureteroileoplasty with unilateral replacement in 15 patients and bilateral replacement in 3 patients. A total of 21 units renoureteral units were repaired by this technique. The pelvic ureter was replaced in 16 renoureteral units, the lumbar ureter was replaced in 1 case and the entire ureter was replaced in 4 cases. The commonest ureteral lesions were strictures secondary to ureteroscopy or ureterolithotomy (40%). All patients had normal renal function, except for one patient with serum creatinine of 224 mumol/l.


RESULTS
With a mean follow-up of 25 months (range: 3 to 64 months) all ureteroileoplasties were patent with no major morbidity. Only the patient with preoperative renal failure developed hyperchloraemic acidosis with deterioration of her renal function.


CONCLUSIONS
In the absence of renal failure, ureteroileoplasty is an operation with low morbidity achieving good medium-term results.
el Fassi
J
J
Service d'Urologie, Hôpital Salvator, Marseille, France.
Barriol
D
D
Lechevallier
E
E
Ortega
J C
JC
Eghazarian
C
C
Rampal
M
M
Coulange
C
C
D005260:Female; D006801:Humans; D007082:Ileum / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D010528:Peristalsis; D011859:Radiography; D012189:Retrospective Studies; D013997:Time Factors; D014515:Ureteral Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods