Reconstruction of extensive upper ureteral damage.
OBJECTIVE
Injuries of the ureter are associated with serious surgical complications. Injury to the lumbar (upper) part of the ureter is rare, and reconstruction may pose considerable surgical challenges. A technique is described that proved useful reconstruction of upper ureteral damage.


METHODS
Reconstruction surgery for a ureterocutaneous fistula was required as a result of earlier removal of a retroperitoneal tumor. The Heineke-Mikulicz maneuver was used to bridge a gap between the ureteral edges.


RESULTS
Ureteral continuity was achieved and the need for other more morbid measures was avoided.


CONCLUSIONS
This maneuver is recommended for ureteral reconstruction as a valid additional technique in the urological armamentarium.
Tsivian
Alexander
A
Department of Urologic Surgery, The Edith Wolfson Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Holon, Israel. atsivian@hotmail.com
D005260:Female; D006801:Humans; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods; D014513:Ureter / Q000293:injuries* / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods; D014945:Wound Healing