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Preliminary nephrostomy and total ileal replacement of both ureters in advanced bilharzial obstructive uropathy
1Department of Surgery, University of Zambia, Lusaka.
British Journal of Urology
|May 1, 1989
Abstract:
Total substitution of both ureters in 5 patients with advanced obstructive uropathy due to extensive ureteric bilharziasis is described. It is recommended that ureteric replacement in the presence of marked obstructive uropathy should not be undertaken without preliminary renal drainage. An open through-and-through nephrostomy is recommended for this purpose. It is suggested that this approach will help to minimise the incidence of nephrectomy in areas of endemic urinary bilharziasis.