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Updated: May 9, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Strategies for open reconstruction of upper ureteral strictures
Richard B Knight1, Steven J Hudak, Allen F Morey
1Department of Urology, San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, TX 78234, USA. richard_b_knight@yahoo.com
Abstract:
This article presents a review of the literature regarding surgical techniques and outcomes for reconstruction of strictures involving the upper ureter. The preoperative assessment for proximal ureteral stricture is briefly reviewed, followed by a discussion of ureteroureterostomy, transureteroureterostomy, ureterocalicostomy, bladder flaps, downward nephropexy, bowel interposition grafts, onlay or tubular grafting, renal autotransplantation, and nephrectomy. The future direction for reconstruction of the proximal ureter is proposed.
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