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Complications with transureteroureterostomy

I L Sandoz, D P Paull, C A MacFarlane

    The Journal of Urology
    |January 1, 1977
    PubMed
    Summary
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    Transureteroureterostomy is an excellent urinary diversion for unilateral ureteral issues. However, 4 of 23 patients experienced recipient ureter injury, a rare but serious complication discussed herein.

    Area of Science:

    • Urology
    • Surgical Techniques
    • Medical Complications

    Background:

    • Transureteroureterostomy is a surgical procedure for urinary diversion.
    • It is indicated for specific lower ureteral lesions.
    • Potential complications, though feared, are infrequently reported.

    Observation:

    • The study reviewed 23 patients who underwent transureteroureterostomy.
    • Four patients (17.4%) experienced injury to the recipient ureter.
    • This complication, while anticipated, is rarely documented in literature.

    Findings:

    • Analysis of surgical technique factors potentially linked to ureter injury.
    • Discussion of the nature and management of recipient ureter complications.
    • Despite the observed complication rate, the procedure's efficacy is maintained.

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    Implications:

    • Highlights the importance of meticulous surgical technique in transureteroureterostomy.
    • Informs surgeons about a rare but significant complication.
    • Reaffirms transureteroureterostomy as a valuable option for specific patient groups requiring urinary diversion.