Transureteroureterostomy: 25-year experience with 100 patients

Area of Science:

• Urology
• Surgical Techniques
• Transplantation

Background:

• Transureteroureterostomy is a surgical procedure involving the ureters.
• Assessing long-term outcomes is crucial for surgical innovation.

Purpose of the Study:

• To evaluate the efficacy and outcomes of transureteroureterostomy.
• To analyze complications and long-term success rates of the procedure.

Main Methods:

• A retrospective review of 100 patients who underwent transureteroureterostomy over 25 years.
• Analysis of donor unit success, recipient kidney status, and postoperative complications.

Main Results:

• Successful treatment of 94 donor units.
• 97 recipient kidneys remained normal post-procedure.
• 2 cases experienced postoperative death from unrelated causes.
• 2 units developed periureteral fibrosis and stricture due to inferior mesenteric artery syndrome, necessitating further surgery.

Conclusions:

• Transureteroureterostomy demonstrates a high success rate for donor unit treatment.
• The procedure generally preserves recipient kidney function, with rare complications observed.