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Comparison between ureteral replacements using a transverse tubularized colonic tube or ileal ureter: experimental
Vip R Patel1, Rafael Gosalbez, Miguel Castellan
1Department of Urology, Jackson Memorial Hospital, University of Miami, Miami, FL 33136, USA.
Introduction:
We report the comparison between ureteral replacements using a transverse tubularized colonic tube or ileal ureter in dogs.
Materials And Methods:
Ten canines were studied. Four underwent ureteral substitution with an ileal ureter; 5 with a single transverse tubularized colonic tube and 1 with a double colonic transverse tubularized tube. The animals were observed for a predetermined interval of 30 days. At 30 days, the animals underwent an intravenous pyelogram, cystogram, urine analysis, and serum electrolyte sampling, and the kidney, ureteral conduit, and bladder were examined grossly and histologically.
Results:
The pyelograms of both the ileal ureter and the transverse tubularized colonic tube showed prompt bilateral renal excretion. Grade 1 hydronephrosis was seen in 3 of 4 animals that received the ileal ureter and with 1 of 5 animals that received the colonic tube. Histological exam of the kidneys showed small focal areas of pyelonephritis in both groups without significant injury to the collecting tubules or glomeruli.
Discussion:
The transverse tubularized colonic tube is an effective form of ureteral replacement in the animal model. The advantages of using the colon include its proximity to the ureters, the minimal mobilization needed, position outside the radiation portals, and the short colonic segment necessary.
