Laparoscopic ureteroplasty with buccal mucosa graft for ureteral tuberculosis

Abstract

SummuryTuberculosis of the urinary system is still a surgical dis-ease and a promising direction in its treatment is the development of new methods of reconstruction of the urinary tract. Purpose. This clinical case demonstrates the possibility of using laparoscopic buccal uretero-plasty in a patient with tuberculous obliteration of the lower third of the ureter. Material and methods. The patient, who was repeatedly operated for tuberculo-sis of the right kidney and ureter, underwent laparo-scopic plastic surgery of the lower third of the right ureter using tubularized buccal graft. Results. No sig-nificant postoperative complications were observed in the patient. The observation period of the patient was 5 months, no obstruction of the urinary tract has been identified at the moment. Conclusion. This operation can be recommended as one of the options for the surgical treatment of obstructive uropathy in nephro-tuberculosis, as an alternative to more complex recon-structive interventions.