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Renal autotransplantation for recurrent renal colic
Transactions of the American Association of Genito-Urinary Surgeons
|January 1, 1979
Summary
Renal autotransplantation using a Boari tube offers a successful alternative for recurrent renal colic, re-establishing urinary tract continuity and preventing pain. This method avoids complications seen with ileal interposition, aiding stone egress and preventing reflux.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Recurrent renal colic poses a significant challenge, often necessitating surgical intervention.
- Ileal interposition, while used, can lead to electrolyte and mucous retention issues.
Observation:
- Renal autotransplantation with direct anastomosis of a Boari tube to the renal pelvis was performed in patients with recurrent renal colic.
- The Boari tube's musculature was assessed for its role in preventing vesicorenal reflux.
Findings:
- The procedure successfully re-established urinary tract continuity, facilitating pain-free egress of recurrent calculi.
- The Boari tube effectively prevented vesicorenal reflux and avoided electrolyte/mucous retention problems.
Implications:
- Renal autotransplantation with a Boari tube is a viable alternative for managing refractory renal colic.
- This technique offers a solution to complications associated with ileal interposition in urinary tract reconstruction.