Abstract
You have accessJournal of UrologyCME1 May 2022V01-06 OWN FLAP URETEROPLASTY-NEW SOLUTION FOR LONG STRICTURE Alexander Kheifets, Ben Valery Sionov, Masha Ben Zvi, and Alexander Tsivian Alexander KheifetsAlexander Kheifets More articles by this author , Ben Valery SionovBen Valery Sionov More articles by this author , Masha Ben ZviMasha Ben Zvi More articles by this author , and Alexander TsivianAlexander Tsivian More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002520.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Reconstruction of long stricture in mid ureter is challenging and surgical options are scarce. In this video we present an alternative recourse where reconstruction of narrowed part of ureter is achieved using rotated flap taken from dilated proximal ureter. METHODS: 36 years old healthy woman investigated for recurrent right renal colic, the imaging revealed 3 cm stricture in right mid ureter with significant pre-stenotic dilation. Right kidney appeared obstructed according to DTPA scanning. The video demonstrates all the surgical steps of laparoscopic reconstruction. RESULTS: Operative time was 4.5 hours. Patient went home on second p/o day and the stent was removed 4 weeks following surgery. After more than 4 years of follow up there is no clinical, laboratory or radiographic evidence of recurrence. CONCLUSIONS: This technique may be a valid reconstructive option for mid ureteral long strictures in selected patients. Source of Funding: none © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e53 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Alexander Kheifets More articles by this author Ben Valery Sionov More articles by this author Masha Ben Zvi More articles by this author Alexander Tsivian More articles by this author Expand All Advertisement PDF DownloadLoading ...
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