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Related Experiment Video

Updated: Jun 7, 2026

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Published on: November 22, 2019

A novel reconstructive option for long upper ureter obliteration.

Alexander Tsivian¹, Matvey Tsivian, A Ami Sidi

¹Department of Urologic Surgery, The E. Wolfson Medical Center, Holon, Israel.

The Canadian Journal of Urology

|October 27, 2010

Summary

A novel pelvic flap ureteroplasty technique successfully reconstructs long upper ureteral obliterations. This method offers a viable solution for complex ureteral injuries when direct reanastomosis is not possible.

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A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction

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Published on: December 20, 2014

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Last Updated: Jun 7, 2026

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Published on: November 22, 2019

A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction

A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction

Published on: December 20, 2014

Area of Science:

Urology
Surgical Innovation
Reconstructive Surgery

Background:

Upper ureteral injuries, though rare, present significant reconstructive challenges.
Traditional methods may be insufficient for extensive ureteral damage.
This study addresses the need for advanced surgical techniques in managing complex ureteral defects.

Observation:

A novel augmented pelvic flap anastomotic ureteroplasty was developed.
The technique involved excising a 5 cm injured upper ureteral segment with obliteration and stenosis.
A flap from the renal pelvis was used to reconstruct the ureteral defect.

Findings:

The augmented pelvic flap ureteroplasty was successfully performed in a patient with a long upper ureteral obliteration.
The procedure avoided more aggressive and morbid surgical options.
The patient maintained stable renal function post-surgery with no signs of obstruction.

Implications:

This pelvic flap ureteroplasty technique is a valuable option for select patients with complex upper ureteral injuries.
It expands the reconstructive armamentarium for urologic surgeons.
The technique offers a less morbid alternative to extensive ureteral reconstruction.