Ileal ureteric replacement for bilateral long segment ureteric injuries: a case report and literature review

Abstract

Objective To report a ileal ureteric replacement surgery for bilateral long segment ureter injury. Methods Data from a patient suffered bilateral long segment uretercic stenosis was reviewed. A 32-year-old female, who underwent radical surgery of cervical cancer and postoperative radiotherapy 1 year ago, complained intermittent low back pain for 11 months and was found renal function abnormality for 3 months. Ultrasound showed bilateral hydronephrosis, and the CT urography showed bilateral middle-lower ureteral stenosis. Preoperative diagnosis was bilateral hydronephrosis with bilateral ureteral obstruction. The patient underwent bilateral ileal ureteric replacement under general anesthesia. Results The surgical procedure was successful and the postoperative recovery was favorable. The operation time was 180 min, and blood loss was 100 ml. The abdominal cavity drainage tube was removed 8 days and the urinary catheter was removed 9 days postoperatively. During 8 months' follow up, the patient showed resolved flank pain with stable serum creatinine. No complication was reported. The CTU 2 months postoperatively showed the hydronephrosis was relieved with normal functioning kidneys. Conclusion Bilateral ileal ureteric replacement surgery might be an effective procedure and viable option for bilateral long segment ureteric injuries. Key words: Ileal ureter replacement; Bilateral; Long segment ureteric injuries