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Interposition of ileum in the ureter
A A Shokeir1, M R Mahran, M A Shamaa
1Urology and Nephrology Center, Mansoura, Egypt.
Scandinavian Journal of Urology and Nephrology
|January 1, 1993
Summary
This study used an ileal loop to reconstruct long upper ureter defects in three patients. The procedure resulted in satisfactory urinary drainage and improved kidney function two to four years post-surgery.
Area of Science:
- Urology
- Surgical Innovation
- Renal Function Preservation
Background:
- Reconstruction of extensive upper ureteral defects presents significant surgical challenges.
- Preserving lower ureteral continuity is crucial for successful urinary tract reconstruction.
- Alternative methods for ureteral defect repair often have limitations.
Observation:
- An ileal loop was utilized to bridge a long defect in the upper ureter.
- The lower ureteral continuity was preserved in all three cases.
- This technique aimed to restore ureteral integrity and function.
Findings:
- Urinary drainage was consistently satisfactory following the ileal loop interposition.
- Renal function showed improvement in all patients at 2-4 year follow-up.
- The surgical approach effectively addressed long ureteral defects.
Implications:
- Ileal loop interposition is a viable option for managing extensive upper ureteral defects.
- This technique can lead to improved renal outcomes and preserved kidney function.
- Further research may explore long-term efficacy and patient selection criteria.