Ureteral Reimplantation with Psoas Bladder Hitch in Adults: A Contemporary Series with Long-Term Followup
We retrospectively evaluated our experience with ureteral reimplantation and psoas bladder hitch to restore urinary tract continuity in patients with lower ureteral defects, since long-term data on the outcomes of this procedure have been relatively scarce in the last two decades. The procedure was...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1100/2012/379316 |
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| author | Francesca Manassero Andrea Mogorovich Girolamo Fiorini Giuseppe Di Paola Maurizio De Maria Cesare Selli |
| author_facet | Francesca Manassero Andrea Mogorovich Girolamo Fiorini Giuseppe Di Paola Maurizio De Maria Cesare Selli |
| author_sort | Francesca Manassero |
| collection | DOAJ |
| description | We retrospectively evaluated our experience with ureteral reimplantation and psoas bladder hitch to restore urinary tract continuity in patients with lower ureteral defects, since long-term data on the outcomes of this procedure have been relatively scarce in the last two decades. The procedure was performed in 24 patients (7 male, 17 female) with a mean age of 54.6 years. The mean ureteral defect length was 4.8 cm (range 3–10), the ureterovesical anastomosis was performed with simplified split-cuff technique in 18 patients, submucosal tunnel in 2, and direct anastomosis without antireflux technique in 2. Mean followup was 53 months (range 12–125), and there were no reinterventions. Postoperative renal imaging was normal in 22 cases (91.6%) and revealed decreased kidney size in 2, 3 patients presented intermittent flank pain, and 5 had sporadic episodes of lower tract UTI but no one pyelonephritis. Psoas hitch ureteral reimplantation can be successfully used for bridging defects of the lower ureter up to 10 cm in length in difficult clinical situations. It is relatively simple to perform, compared to other procedures of ureteral reconstruction, and it provides adequate protection of the upper urinary tract. |
| format | Article |
| id | doaj-art-cba5662197ff4079a1e18d43dad4873f |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-cba5662197ff4079a1e18d43dad4873f2025-02-03T01:02:15ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/379316379316Ureteral Reimplantation with Psoas Bladder Hitch in Adults: A Contemporary Series with Long-Term FollowupFrancesca Manassero0Andrea Mogorovich1Girolamo Fiorini2Giuseppe Di Paola3Maurizio De Maria4Cesare Selli5Department of Urology, University of Pisa, Via Paradisa 2, 56124 Pisa, ItalyDepartment of Urology, University of Pisa, Via Paradisa 2, 56124 Pisa, ItalyDepartment of Urology, University of Pisa, Via Paradisa 2, 56124 Pisa, ItalyDepartment of Urology, University of Pisa, Via Paradisa 2, 56124 Pisa, ItalyDepartment of Urology, University of Pisa, Via Paradisa 2, 56124 Pisa, ItalyDepartment of Urology, University of Pisa, Via Paradisa 2, 56124 Pisa, ItalyWe retrospectively evaluated our experience with ureteral reimplantation and psoas bladder hitch to restore urinary tract continuity in patients with lower ureteral defects, since long-term data on the outcomes of this procedure have been relatively scarce in the last two decades. The procedure was performed in 24 patients (7 male, 17 female) with a mean age of 54.6 years. The mean ureteral defect length was 4.8 cm (range 3–10), the ureterovesical anastomosis was performed with simplified split-cuff technique in 18 patients, submucosal tunnel in 2, and direct anastomosis without antireflux technique in 2. Mean followup was 53 months (range 12–125), and there were no reinterventions. Postoperative renal imaging was normal in 22 cases (91.6%) and revealed decreased kidney size in 2, 3 patients presented intermittent flank pain, and 5 had sporadic episodes of lower tract UTI but no one pyelonephritis. Psoas hitch ureteral reimplantation can be successfully used for bridging defects of the lower ureter up to 10 cm in length in difficult clinical situations. It is relatively simple to perform, compared to other procedures of ureteral reconstruction, and it provides adequate protection of the upper urinary tract.http://dx.doi.org/10.1100/2012/379316 |
| spellingShingle | Francesca Manassero Andrea Mogorovich Girolamo Fiorini Giuseppe Di Paola Maurizio De Maria Cesare Selli Ureteral Reimplantation with Psoas Bladder Hitch in Adults: A Contemporary Series with Long-Term Followup The Scientific World Journal |
| title | Ureteral Reimplantation with Psoas Bladder Hitch in Adults: A Contemporary Series with Long-Term Followup |
| title_full | Ureteral Reimplantation with Psoas Bladder Hitch in Adults: A Contemporary Series with Long-Term Followup |
| title_fullStr | Ureteral Reimplantation with Psoas Bladder Hitch in Adults: A Contemporary Series with Long-Term Followup |
| title_full_unstemmed | Ureteral Reimplantation with Psoas Bladder Hitch in Adults: A Contemporary Series with Long-Term Followup |
| title_short | Ureteral Reimplantation with Psoas Bladder Hitch in Adults: A Contemporary Series with Long-Term Followup |
| title_sort | ureteral reimplantation with psoas bladder hitch in adults a contemporary series with long term followup |
| url | http://dx.doi.org/10.1100/2012/379316 |
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