title: Bilateral ureteral tapering and secondary ureteroneocystostomy for late stenosis in a patient with bladder extrophy.
abstract: OBJECTIVE
  To report a case of severe hydronephrosis 20 years after bladder exstrophy (BE) repair, managed by bilateral ureteral tapering and secondary ureteroneocystostomy.
  
  
  METHODS
  A 21-year-old woman with a history of BE and ureteral reimplantation, presented with hematuria-dysuria syndrome and recurrent febrile urinary tract infections. After counselling, she elected to undergo bilateral ureteral tapering and second ureteroneocystostomy.
  
  
  CONCLUSIONS
  Hydronephrosis secondary to ureteralvesical stricture in BE patients can be successfully managed with ureteral reimplantation associated to ureteral tapering even after a prior reimplantation.
authors.affiliation: Campus Biomedico, Urology Roma, Rome, Italy.
authors.forename: Emanuela
authors.initials: E
authors.lastname: Altobelli
authors.affiliation: Campus Biomedico, Urology Roma, Rome, Italy.
authors.forename: Alfredo M
authors.initials: AM
authors.lastname: Bove
authors.affiliation: Campus Biomedico, Urology Roma, Rome, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Sergi
authors.affiliation: Campus Biomedico, Urology Roma, Rome, Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Buscarini
keywords: Bladder exstrophy; Hydronephrosis; Surgical technique