Ileal substitution of a radiologically injured duplex female ureter via novel antireflux technique.
A 34-year-old female patient underwent total hysterectomy and pelvic irradiation for uterine malignancy, which led to iatrogenic fibrotic injury of the distal ureter. Reconstructive surgery was performed, and the ureter was replaced by an isolated ileal segment. Ureteroileal anastomosis was created using the antireflux serous-lined extramural tunnel technique, while the distal end of the isolated ileal segment was widely anastomosed with the bladder. Within a 1-year follow-up, excellent results were achieved, with complete recovery of the patient's renal function and previous quality of life. This technique could be a viable option when large ureteral defects are encountered.
Hinev
Alexander Ivanov
AI
Department of Surgery, Division of Urology, St. Marina University Hospital, Varna Medical University, Varna 9010, Bulgaria. alexander_hinev@yahoo.com
Paunov
Stoyan Milanov
SM
Balev
Boyan Dobrev
BD
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007082:Ileum / Q000601:surgery*; D008954:Models, Biological; D011788:Quality of Life; D011859:Radiography; D013997:Time Factors; D016896:Treatment Outcome; D014513:Ureter / Q000601:surgery*; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods*