[Long-term results of appendicouretheroplasty]

The article presents the long-term results of 15 operations for replacement of urethral strictures of various locations by appendix. One patient undergone plastics of top third of the right ureter, other undergone replacement of it pelvic part, and replacement of left ureter was performed in 3 cases of replacement of pelvic part. Surgical technique was modified in 12 cases by using a cut area from head of blind colon for better appendicocystanastomosis. The follow-up period ranged from 3 months to 14 years, on an average 6.1 +/- 3.2 years. Postoperative complications requiring surgical correction occurred in 2 (13.3%) patients. Urinary tract patency was restored in all cases. Thus, good short-term results are obtained for the 2 (86.7%) patients, and good long-term results--for all patients. Fatal cases were not registered. Results of our clinical observations suggest the possible success of replacement of the any part of right ureter and left pelvic ureter by appendix.