Abstract: Chapter 7 Ureteric Reconstruction and Replacement Christopher Woodhouse, Christopher WoodhouseSearch for more papers by this authorAslam Sohaib, Aslam SohaibSearch for more papers by this author Christopher Woodhouse, Christopher WoodhouseSearch for more papers by this authorAslam Sohaib, Aslam SohaibSearch for more papers by this author Book Editor(s):Christopher Woodhouse, Christopher Woodhouse University College London, UKSearch for more papers by this authorAlex Kirkham, Alex Kirkham University College London Hospitals, UKSearch for more papers by this author First published: 05 September 2017 https://doi.org/10.1002/9781119162117.ch7 AboutPDFPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShareShare a linkShare onFacebookTwitterLinked InRedditWechat Summary The best tissue with which to repair the ureter is the ureter itself. If that is not feasible, tubularised bladder is the next choice. Reconstruction and replacement of the ureter is an exercise in imaginative use of the available techniques. For a damaged lower ureter, direct re-implantation into the bladder using a subepithelial tunnel is the procedure of choice. For longer sections of missing ureter it is necessary to raise a flap of bladder known as a Boari. The Boari flap is a most useful means of salvaging the ureter using urothelial lined tissue. The reconstructions using anastomosis of ureter to renal pelvis, ureter to ureter and ureteric re-implantation with or without a Boari flap are remarkably successful. Their follow-up and long-term outcomes are almost identical. The function and appearance of the kidneys after obstruction has been most studied in patients after repair of pelvi-ureteric obstruction. Radiology and Follow-up of Urologic Surgery RelatedInformation
Publication Year: 2017
Publication Date: 2017-09-05
Language: en
Type: other
Indexed In: ['crossref']
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