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Transverse ureterotomy in open ureterolithotomy.

L L Douglas1, K Wedderburn, C A Rattray

  • 1Departments of Surgery, Radiology, Anaesthesia and Intensive Care and Obstetrics, Gynaecology and Child Health, University of the West Indies, Kingston Public Hospital, Kingston, Jamaica, West Indies. lawson@cwjamaica.com

The West Indian Medical Journal
|September 17, 2003
PubMed
Summary

Transverse ureterotomy (TU) for open ureterolithotomy significantly reduces complications like urinary leakage and hospital stay compared to standard longitudinal ureterotomy (LU). This technique offers a safer approach for open stone removal from the ureter.

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Area of Science:

  • Urology
  • Surgical Innovation
  • Nephrology

Background:

  • Open ureterolithotomy is an infrequently performed procedure for ureteral stones.
  • Standard longitudinal ureterotomy (LU) carries risks of morbidity.
  • Transverse ureterotomy (TU) is presented as an alternative approach.

Purpose of the Study:

  • To evaluate the efficacy of transverse ureterotomy (TU) in reducing morbidity associated with open ureterolithotomy.
  • To compare outcomes of TU versus standard longitudinal ureterotomy (LU) for ureteral stone disease.

Main Methods:

  • Retrospective comparison of 100 transverse ureterotomies (TU) with 50 longitudinal ureterotomies (LU) for stone disease.
  • Assessment of urinary leakage, hospital stay duration, and ureteric narrowing via intravenous urogram at three months post-operation.

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Main Results:

  • Transverse ureterotomy (TU) cases showed significantly reduced urinary leakage compared to LU.
  • Patients undergoing TU experienced a shorter hospital stay.
  • No instances of ureteric narrowing were observed in the TU group.

Conclusions:

  • Transverse ureterotomy (TU) significantly lowers morbidity compared to standard longitudinal ureterotomy (LU) for open ureterolithotomy.
  • TU is a safe and effective alternative for open stone removal, provided meticulous surgical technique.
  • The study recommends the adoption of TU for open ureterolithotomy procedures.