[Uretero-transappendix-cystoneostomy as a technique for the reconstruction of the lower part of the ureter].
BACKGROUND
Any large missing part of the ureter may be replaced by transureteroureterostomy, psoas hitch, Boari flap, nephrectomy, renal autotransplanation or by the implementation of an intestinal graft.


METHODS
A patient with a defect of the lumbal-pelvic portion of the right ureter, after the managemenet of a penetrating and perforating gun shot wound was presented. The missing part of the ureter was seccessfully replaced with an appendix. The technique of uretero-transappendix-cystoneostomy complete with a Boari flap and a psoas hitch was used.


CONCLUSIONS
By the use of an original combination of surgical techniques, a large defect of the ureter and the defect of the bladder, as well as the preservation of the renal function was achieved in a more successful manner.
Milović
Novak
N
Vojnomedicinska akademija, Klinika za urologiju, Beograd. lazina@yubc.net
Janjić
Pero
P
Bancević
Vladimir
V
Kupresanin
Srdan
S
D000328:Adult; D001065:Appendix / Q000637:transplantation*; D006801:Humans; D008297:Male; D014513:Ureter / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery; D013521:Urologic Surgical Procedures, Male / Q000379:methods; D014857:Warfare; D014948:Wounds, Gunshot / Q000601:surgery