Transverse ureterotomy in open ureterolithotomy.
Open ureterolithotomy is now a seldom performed operation but is still occasionally necessary. We report on the transverse ureterotomy (TU) in this procedure and its effect on reducing morbidity. Results from 100 cases of TU for stone disease since 1976 were compared with those from 50 ureterolithotomies using the standard longitudinal ureterotomy (LU) performed during the same period. The parameters considered were urinary leakage, length of hospital stay and ureteric narrowing as assessed on intravenous urogram at three months. The cases utilizing TU were associated with significantly less urinary leakage, a shorter hospital stay and no ureteric narrowing. Transverse ureterotomy for stone disease significantly reduces the morbidity associated with the operation when utilizing the standard LU. The fear of transecting the ureter may be overcome by good exposure and gentle careful dissection. We suggest that TU be used for open ureterolithotomy.
Douglas
L L
LL
Departments of Surgery, Radiology, Anaesthesia and Intensive Care and Obstetrics, Gynaecology and Child Health, University of the West Indies, Kingston Public Hospital, Kingston, Jamaica, West Indies. lawson@cwjamaica.com
Wedderburn
K
K
Rattray
C A
CA
Cadogan
C M
CM
D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007563:Jamaica; D007902:Length of Stay; D017602:Lithotripsy, Laser / Q000379:methods; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D011183:Postoperative Complications; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome; D014514:Ureteral Calculi / Q000175:diagnosis / Q000601:surgery*; D018666:Ureteroscopy / Q000379:methods; D013520:Urologic Surgical Procedures / Q000379:methods*