title: Reconstruction of extensive upper ureteral damage.
abstract: 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.
authors.affiliation: Department of Urologic Surgery, The Edith Wolfson Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Holon, Israel. atsivian@hotmail.com
authors.forename: Alexander
authors.initials: A
authors.lastname: Tsivian
mesh_terms: 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