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Related Experiment Videos

Trans-uretero-ureterostomy: British experience.

I B Smith, J C Smith

    British Journal of Urology
    |October 1, 1975
    PubMed
    Summary

    Trans-uretero-ureterostomy is a safe and effective surgical technique for kidney drainage, with a low complication rate. Preserving a spare ureter during nephrectomy can provide a vital alternative drainage pathway for the remaining kidney.

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    Area of Science:

    • Urology
    • Surgical Techniques

    Background:

    • Many British surgeons express reluctance towards trans-uretero-ureterostomy due to concerns about damaging the contralateral ureter and kidney.
    • Alternative procedures like the Boari flap are often preferred.

    Observation:

    • A survey of 141 cases (27 personal, 114 reported) investigated the outcomes of trans-uretero-ureterostomy.
    • The study specifically analyzed simple Y-anastomoses and procedures for draining solitary kidneys via the contralateral ureter.

    Findings:

    • Fifty-six simple Y-anastomoses yielded very good results, with only 4 exceptions attributed to incorrect indications or techniques.
    • No instances of damage to the opposite ureter or kidney were reported following the procedure.
    • Ten operations successfully utilized a spare ureter to drain a solitary kidney.

    Implications:

    • Trans-uretero-ureterostomy demonstrates a low complication rate and high success, challenging existing surgical apprehension.
    • Preserving a healthy, spare ureter during nephrectomy is recommended for potential future use in draining the contralateral kidney.
    • This technique offers a viable solution for managing renal drainage, particularly in cases involving solitary kidneys.

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