Treatment of retrocaval ureter

Retrocaval ureter is a developmental anomaly of the course of the ureter in relation to the inferior vena cava. In spite of the fact the pathophysiological consequences of this anomaly are very serious, clinical manifestations are relatively poor. Experience with the management of this disorder in our 4 patients justifies the therapy we applied. It involves resection of a part of the ureter running behind the inferior vena cava, transposition of the ureter and subsequent end-to-end anastomosis of both parts of the ureter or of the ureter directly with the pelvis. The results verified at postoperative check-up examinations were very good, demonstrating the correctness of the tactics and procedure used.