Transureteroureterostomy: experience with 75 cases

Since 1969 transureteroureterostomy has been done on 75 patients, mostly children. In the majority of cases the procedure was used simultaneously with reimplantation of the opposite ureter. The patients had been referred with previous failed ureteral reimplantation or for undiversion. The complication rate was low. Many of the cases could not have been reconstructed except by use of transureteroureterostomy or transureteropyelostomy. Transureteroureterostomy is a useful procedure that should be considered in a wide variety of urologic cases. By following certain general principles of avoiding tension, angulation and devascularization it can be done with a high success rate and few complications.