Partial flap ureteroneocystostomy for bilharzial strictures of lower ureter

Partial flap ureteroneocystostomy was applied for the management of bilharzial strictures of the lower ureter for 30 ureters (24 patients). Follow-up excretory urography (IVP) showed improvement or stabilization in 83.3 per cent of renoureteral units. Creatinine clearance improved or remained stable in 79 per cent of cases. Postoperative reflux occurred in 30 per cent of renoureteral units. We recommend partial flap ureteroneocystostomy for the management of bilharzial strictures if submucosal tunnel ureteroneocystostomy is not applicable.