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...
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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 |
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