A simplified technique for laparoscopic ureteroneocystostomy without ureteral nipple or submucosal tunneling
Jiangping Gao1, Jun Dong, Axiang Xu
1Department of Urology, General Hospital of People's Liberation Army, Beijing, China. jpgao@163.com
Purpose:
To present our preliminary experience with laparoscopic ureter reimplantation for distal ureteral stricture without an everted ureteral nipple or submucosal tunneling, and to evaluate its clinical feasibility, safety, and validity.
Patients And Methods:
Six patients with distal ureteral stricture underwent transperitoneal laparoscopic ureteral reimplantation. The ureter was reimplanted into the bladder without everting the ureter or tunneling construction. The seromuscular wall of the ureter was anastomosed circumferentially to the detrusor muscle using continuous absorbable sutures.
Results:
All patients had no intraoperative complications or need for open conversion. Intravenous urography 3 months later showed normal drainage without obstruction or reflux. In three patients, hydronephrosis was not revealed by ultrasonography 6 months later.
Conclusions:
Laparoscopic noneverted ureteral reimplantation is technically simple, reliable, effective, and feasible.
