title: Transureteroureterostomy: an adjunct to the management of advanced primary and recurrent pelvic malignancy.
abstract: OBJECTIVE
  The surgical management of advanced primary or recurrent rectal cancer may involve the lower ureter or ureterovesical junction. With unilateral involvement, reconstruction of the ureters with salvage of the ipsilateral renal function should be considered.
  
  
  METHODS
  With optimal exposure both ureters are visualized. The crossed ureter is incised perpendicularly and then longitudinally on its medial aspect. An anterolateral ureterotomy is made on the recipient ureter. A mucosa-to-mucosa anastomosis is completed. Stents are used selectively.
  
  
  RESULTS
  Eleven patients with advanced pelvic malignancy underwent this procedure. There was one major complication requiring ureteronephrectomy of the crossed system.
  
  
  CONCLUSIONS
  Transureteroureterostomy should be considered as a treatment option in patients with unilateral ureteral obstruction.
authors.affiliation: Washington Cancer Institute, 110 Irving St. NW, Washington, DC 20010, USA. Paul.Sugarbaker@medstar.net
authors.forename: Paul H
authors.initials: PH
authors.lastname: Sugarbaker
authors.forename: Mordechai
authors.initials: M
authors.lastname: Gutman
authors.forename: Mohan
authors.initials: M
authors.lastname: Verghese
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D019468:Disease Management; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007682:Kidney Pelvis / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000401:mortality / Q000601:surgery; D018365:Neoplasm, Residual; D009378:Neoplasms, Multiple Primary / Q000401:mortality / Q000601:surgery; D010386:Pelvic Neoplasms / Q000401:mortality / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality / Q000601:surgery; D012004:Rectal Neoplasms / Q000401:mortality / Q000601:surgery; D012086:Reoperation; D016019:Survival Analysis; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014513:Ureter / Q000601:surgery; D014519:Ureterostomy / Q000379:methods*