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A case of ileal ureter with proximal antireflux system
H Kato1, H Abol-Enein, Y Igawa
1Department of Urology, Shinshu University School of Medicine, Matsumoto, Japan.
Background:
The initial experience of constructing a new antirefluxing valve at the uretero-ileal junction with ileal substitution is reported.
Methods:
A new antirefluxing valve was constructed at the uretero-ileal junction with ileal substitution by fixing the distal part of the ureter between the psoas muscle and ileal segment (the ileo-psoas tunnel technique).
Discussion:
The valve created by the technique has been working effectively for preventing the ileo-ureteral reflux. Pre-operative hydronephrosis was improved and the renal function has been well preserved.
Conclusion:
The ileo-psoas tunnel technique is worthwhile when ileal substitution of the ureter is indicated.