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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Related Experiment Video

Updated: Jun 23, 2026

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Long segment ureteral reconstruction using the prepuce: A case report.

Xiaoyong Zeng1, Zhenliang Qin1, Xing Li1

  • 1Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China.

Urology Case Reports
|January 15, 2025
PubMed
Summary
This summary is machine-generated.

This study presents a successful 12cm ureteral reconstruction using penile prepuce in a patient with ureteral obstruction. The technique ensured ureteral patency and prevented stricture recurrence one year post-surgery.

Keywords:
PrepuceUreteral reconstructionUreteral stricture

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Area of Science:

  • Urology
  • Surgical Innovation
  • Reconstructive Surgery

Background:

  • Long segment ureteral reconstruction presents significant surgical challenges.
  • Ureteral strictures can lead to significant morbidity.
  • Existing reconstructive techniques have limitations.

Observation:

  • A 49-year-old male patient presented with right ureteral obstruction.
  • The obstruction was located between the ileal orthotopic bladder and the ureter.
  • A 12cm ureteral reconstruction was performed using the penile prepuce as a free graft.

Findings:

  • Postoperative anterograde angiography confirmed ureteral patency one month after surgery.
  • The patient experienced no ureteral stricture recurrence after one year of follow-up.
  • The prepuce graft proved effective for long segment ureteral reconstruction.

Implications:

  • Penile prepuce is a viable option for complex ureteral reconstruction.
  • This technique offers a potential solution for challenging ureteral defects.
  • Further studies can explore the long-term efficacy and applicability of this method.