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[The psoas bladder. Experience with 88 operations (author's transl)]

J Cukier, H Cabane, F R Michel

    Journal D'Urologie
    |January 1, 1981
    PubMed
    Summary

    The psoas bladder procedure offers good results for ureteral reconstruction in children and adults, particularly for tuberculosis cases. It is a valuable alternative when other methods fail to prevent reflux or address ureteral loss.

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    Area of Science:

    • Urology
    • Pediatric Urology
    • Surgical Reconstruction

    Context:

    • Psoas bladder (or psoas hitch) is a surgical technique for ureteral reconstruction.
    • It is employed in cases of ureteral loss or complex bladder issues.
    • Previous reconstructive attempts, megalo-ureters, and pelvic fibrosis are common indications.

    Purpose:

    • To evaluate the efficacy and outcomes of the psoas bladder technique in 88 pediatric and adult patients.
    • To identify key indications, complications, and factors influencing success rates.
    • To compare psoas bladder with other reconstructive methods like the Leadbetter-Politano operation.

    Summary:

    • The study reviewed 88 psoas bladder procedures, noting good outcomes in primary pediatric cases and adults with tuberculosis.

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  • Complications included ureteral stenosis (4 in adults, 1 in children) and vesicoureteral reflux (6 in children) primarily due to short submucosal tunnels.
  • The technique is recommended for ureteral loss and when simple ureteral advancement fails to prevent reflux, serving as an alternative to Leadbetter-Politano.

    • Impact:

    • Highlights the psoas bladder as a crucial reconstructive option for complex ureteral defects.
    • Emphasizes the importance of adequate dissection and tension-free anastomosis for successful outcomes.
    • Provides evidence supporting its use as a viable alternative in specific urological reconstructive scenarios.