Endoscopic ureteroneocystostomy for post-transplantation ureterovesical junction stenosis

We report a new technique for the management of ureterovesical junction stenosis in a renal transplant recipient. Endoscopic retrograde resection of a bladder window permitted direct retroperitoneal vision and longitudinal incision of the distal ureter. Ureteral and bladder mucosa were in close proximity and were stabilized with a double-J catheter. This alternative transmural transvesical ureteroneocystostomy had minimal morbidity and may be an alternative to traditional open surgical repair of these lesions.