[Ureteral realignment with the rendezvous procedure in complex ureteral injuries - aspects of technique and our experience].
OBJECTIVE
The rendezvous procedure for re-establishing ureteral continuity after complex ureteral injuries is introduced and we present our experience with this technique.


METHODS
Aspects of the technique are described in a detailed step-by-step instruction using intraoperative radiographs. We evaluated our patient data from 1998 until 2009 for cases in which the rendezvous procedure was attempted.


RESULTS
The rendezvous procedure was used in a total of 11 patients. Realignment was successful in 10 cases (90.9 %) and the initial nephrostomy could be removed. In 3 of 7 cases postoperative removal of the JJ ureteric stent was successful. In 7 patients the final surgical ureter reconstruction was performed after a medium period of 7 months. 5 cases of ureteroneocystostomy and 2 cases of reconstruction of the ureter either with colon or ileum segments were accomplished. In 1 patient a permanent maintenance of the DJ ureteral stent was necessary.


CONCLUSIONS
Ureteral realignment with the rendezvous procedure enables disposition of the ureteral stent in many cases, exclusively antegrade or retrograde procedures failed. By this means nephrostomy could be spared as a temporary or permanent solution and a better chance of restitutio ad integrum could be realised.
Brandt
Alexander Sascha
AS
Klinik für Urologie und Kinderurologie, Helios Klinikum Wuppertal, Lehrstuhl der Universität Witten / Herdecke, Wuppertal. alexander-sascha.brandt@helios-kliniken.de
von Rundstedt
F-C
FC
Lazica
D A
DA
Roth
S
S
D000328:Adult; D000368:Aged; D002404:Catheterization / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D009403:Nephrostomy, Percutaneous / Q000379:methods; D012086:Reoperation; D012189:Retrospective Studies; D015607:Stents; D014513:Ureter / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D018666:Ureteroscopy / Q000379:methods; D014567:Urography; D013520:Urologic Surgical Procedures / Q000379:methods*