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Modified ureteral stripping as an alternative to open surgical ureterectomy
S Roth1, H van Ahlen, A Semjonow
1Department of Urology, University of Munster, Germany.
Purpose:
Using a compression technique instead of the classical invagination technique in cases of total nephroureterectomy improves traction during transurethral stripping of the ureteral stump.
Materials And Methods:
Eight patients underwent our modified compression technique. After nephrectomy a kinked 5F ureteral catheter is attached to the ureteral stump with a double ligation. Traction on the ureteral catheter is used to achieve ureteral compression.
Results:
There were no intraoperative difficulties except for 1 dislodged ureteral catheter. No complications were associated with ureteral detachment or resection.
Conclusion:
Our technique offers an alternative to the classic invagination technique by increasing transurethral traction on the ureteral stump, while substantially decreasing the risk of ureteral catheter dislodgment.