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[Extravesicle ureterocystoanastomosis]
Urologiia (Moscow, Russia : 1999)
|June 25, 2002
Summary
Extravesical ureterocystoanastomosis offers a promising surgical approach for vesicoureteral reflux and ureteral obstruction. This technique reduces operative injury and shows feasibility in complex cases, including reoperations.
Area of Science:
- Urology
- Surgical Innovation
Context:
- Extravesical ureterocystoanastomosis has been performed since 1986.
- The study included 79 patients (71 children, 8 adults).
- 112 ureters were treated for vesicoureteral reflux and supravesical ureteral obstruction.
Purpose:
- To evaluate the efficacy and outcomes of extravesical ureterocystoanastomosis.
- To assess the technique's applicability in primary and reoperative settings.
Summary:
- The procedure was performed on 79 patients with vesicoureteral reflux and ureteral obstruction.
- A 7.6% incidence of postoperative acute pyelonephritis was observed, with successful management through reoperation or nephrostoma removal.
- The technique demonstrated effectiveness in a complex case of recurrent vesicoureteral reflux after multiple prior surgeries.
Impact:
- Extravesical ureterocystoanastomosis presents reduced operative injury.
- It has no contraindications for primary operations or reoperations.
- The technique is feasible for various forms of ureterocystoanastomosis failure, indicating its promising potential.