title: [Technical features of intestinal ureteroplasty. Part 2: right-sided ileoureteroplasty].
abstract: OBJECTIVE
  To present the results of intestinal ureteroplasty and technical features of right-sided ileoureteroplasty.
  
  
  METHODS
  From 2001 to 2015, 78 patients underwent isolated reconstruction of the ureter using a segment of the ileum, of whom 57 (73%) and 21 (27%) patients had unilateral and bilateral operation, respectively. In total, isolated segments of the ileum were used to substitute 101 ureters including 45 (44.6%) right ureters.
  
  
  RESULTS
  The follow-up period ranged from 3 months to 14 years (mean 8.3 +/- 0.8 years). Early postoperative complications occurred in 8 (10.2%) patients and 5 (6.4%) of them required reoperation. Long-term postoperative complications occurred in 7 (8.9%) patients and 4 required surgical treatment. All patients had good results of conservative treatment and reoperations. There were no deaths. All patients achieved restoration of urodynamics and normalization of kidney function.
  
  
  CONCLUSIONS
  Right-sided, especially total, ileoureteroplasty is the most technically challenging among other possible options to substitute the ureter with a small bowel segment. To avoid mesenteric torsion when performing isoperistaltic ureteroplasty, the graft should be placed above and in front of the intestinal anastomosis.
authors.affiliation: Department of Urology, I.I. Mechnikov North-Western State Medical University.|Multidisciplinary City Hospital 2, Department of Urology.
authors.forename: B K
authors.initials: BK
authors.lastname: Komyakov
authors.affiliation: Department of Urology, I.I. Mechnikov North-Western State Medical University.|Multidisciplinary City Hospital 2, Department of Urology.
authors.forename: B G
authors.initials: BG
authors.lastname: Guliev
authors.affiliation: Department of Urology, I.I. Mechnikov North-Western State Medical University.|Multidisciplinary City Hospital 2, Department of Urology.
authors.forename: V A
authors.initials: VA
authors.lastname: Ochelenko
authors.affiliation: Department of Urology, I.I. Mechnikov North-Western State Medical University.|Multidisciplinary City Hospital 2, Department of Urology.
authors.forename: T Kh
authors.initials: TK
authors.lastname: Al-Attar
authors.affiliation: Department of Urology, I.I. Mechnikov North-Western State Medical University.|Multidisciplinary City Hospital 2, Department of Urology.
authors.forename: Kh M
authors.initials: KM
authors.lastname: Mkhanna
authors.affiliation: Department of Urology, I.I. Mechnikov North-Western State Medical University.|Multidisciplinary City Hospital 2, Department of Urology.
authors.forename: A Kh
authors.initials: AK
authors.lastname: Gaziev
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D014513:Ureter / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: intestinal substitution; stricture; ureter