The bladder-flap ureteral augmentation: An original solution in case of complex distal stricture

An original surgical solution for complex stenosis of the distal ureter is presented. A young, single-kidney male patient developed a stricture of the pelvic ureter after ureteroscopy and laser lithotripsy. Surgical repair was planned after the failure of conservative management. The ureter was sect...

Full description

Bibliographic Details
Main Authors: Alessandro Antonelli, Nicolò Trabacchin, Carmelo Monaco, Alessandro Tafuri, Maria Angela Cerruto, Fabrizio Dal Moro
Format: Article
Language:English
Published: Elsevier 2021-07-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442021000760
id doaj-f84fb260b5d347158b1022290e4a57c1
record_format Article
spelling doaj-f84fb260b5d347158b1022290e4a57c12021-05-26T04:27:05ZengElsevierUrology Case Reports2214-44202021-07-0137101636The bladder-flap ureteral augmentation: An original solution in case of complex distal strictureAlessandro Antonelli0Nicolò Trabacchin1Carmelo Monaco2Alessandro Tafuri3Maria Angela Cerruto4Fabrizio Dal Moro5Urology Clinic, Department of Surgery and Oncology, University of Verona, AOUI Verona, Piazzale Stefani n° 1, 37126, Verona, ItalyUrology Clinic, Department of Surgery and Oncology, University of Verona, AOUI Verona, Piazzale Stefani n° 1, 37126, Verona, Italy; Corresponding author.Urology Clinic, Department of Surgery and Oncology, University of Verona, AOUI Verona, Piazzale Stefani n° 1, 37126, Verona, ItalyUrology Clinic, Department of Surgery and Oncology, University of Verona, AOUI Verona, Piazzale Stefani n° 1, 37126, Verona, ItalyUrology Clinic, Department of Surgery and Oncology, University of Verona, AOUI Verona, Piazzale Stefani n° 1, 37126, Verona, ItalyUrology Clinic, Department of Surgical Oncological and Gastroenterological Sciences, University of Padua, Via Nicolò Giustiniani n°2, 35126, Padua, ItalyAn original surgical solution for complex stenosis of the distal ureter is presented. A young, single-kidney male patient developed a stricture of the pelvic ureter after ureteroscopy and laser lithotripsy. Surgical repair was planned after the failure of conservative management. The ureter was sectioned prevesically and spatulated; a bladder flap with the same dimensions of the ureteral plate was taken from the anterior wall, and used to augment the ureter; finally an omental flap was wrapped around the reconstructed tract. Further radiological and ureteroscopic controls showed a largely patent reconstructed ureter, and follow up proved a regularly maintained kidney function.http://www.sciencedirect.com/science/article/pii/S2214442021000760Bladder-flapUreteral augmentationInnovative surgical techniqueUreteral stricture management
collection DOAJ
language English
format Article
sources DOAJ
author Alessandro Antonelli
Nicolò Trabacchin
Carmelo Monaco
Alessandro Tafuri
Maria Angela Cerruto
Fabrizio Dal Moro
spellingShingle Alessandro Antonelli
Nicolò Trabacchin
Carmelo Monaco
Alessandro Tafuri
Maria Angela Cerruto
Fabrizio Dal Moro
The bladder-flap ureteral augmentation: An original solution in case of complex distal stricture
Urology Case Reports
Bladder-flap
Ureteral augmentation
Innovative surgical technique
Ureteral stricture management
author_facet Alessandro Antonelli
Nicolò Trabacchin
Carmelo Monaco
Alessandro Tafuri
Maria Angela Cerruto
Fabrizio Dal Moro
author_sort Alessandro Antonelli
title The bladder-flap ureteral augmentation: An original solution in case of complex distal stricture
title_short The bladder-flap ureteral augmentation: An original solution in case of complex distal stricture
title_full The bladder-flap ureteral augmentation: An original solution in case of complex distal stricture
title_fullStr The bladder-flap ureteral augmentation: An original solution in case of complex distal stricture
title_full_unstemmed The bladder-flap ureteral augmentation: An original solution in case of complex distal stricture
title_sort bladder-flap ureteral augmentation: an original solution in case of complex distal stricture
publisher Elsevier
series Urology Case Reports
issn 2214-4420
publishDate 2021-07-01
description An original surgical solution for complex stenosis of the distal ureter is presented. A young, single-kidney male patient developed a stricture of the pelvic ureter after ureteroscopy and laser lithotripsy. Surgical repair was planned after the failure of conservative management. The ureter was sectioned prevesically and spatulated; a bladder flap with the same dimensions of the ureteral plate was taken from the anterior wall, and used to augment the ureter; finally an omental flap was wrapped around the reconstructed tract. Further radiological and ureteroscopic controls showed a largely patent reconstructed ureter, and follow up proved a regularly maintained kidney function.
topic Bladder-flap
Ureteral augmentation
Innovative surgical technique
Ureteral stricture management
url http://www.sciencedirect.com/science/article/pii/S2214442021000760
work_keys_str_mv AT alessandroantonelli thebladderflapureteralaugmentationanoriginalsolutionincaseofcomplexdistalstricture
AT nicolotrabacchin thebladderflapureteralaugmentationanoriginalsolutionincaseofcomplexdistalstricture
AT carmelomonaco thebladderflapureteralaugmentationanoriginalsolutionincaseofcomplexdistalstricture
AT alessandrotafuri thebladderflapureteralaugmentationanoriginalsolutionincaseofcomplexdistalstricture
AT mariaangelacerruto thebladderflapureteralaugmentationanoriginalsolutionincaseofcomplexdistalstricture
AT fabriziodalmoro thebladderflapureteralaugmentationanoriginalsolutionincaseofcomplexdistalstricture
AT alessandroantonelli bladderflapureteralaugmentationanoriginalsolutionincaseofcomplexdistalstricture
AT nicolotrabacchin bladderflapureteralaugmentationanoriginalsolutionincaseofcomplexdistalstricture
AT carmelomonaco bladderflapureteralaugmentationanoriginalsolutionincaseofcomplexdistalstricture
AT alessandrotafuri bladderflapureteralaugmentationanoriginalsolutionincaseofcomplexdistalstricture
AT mariaangelacerruto bladderflapureteralaugmentationanoriginalsolutionincaseofcomplexdistalstricture
AT fabriziodalmoro bladderflapureteralaugmentationanoriginalsolutionincaseofcomplexdistalstricture
_version_ 1721426686933729280