Laparoscopic ureteroneocystostomy for distal ureteral injuries.

Abstract:

OBJECTIVES:To present our initial experience with laparoscopic ureteroneocystostomy in patients with traumatic disruption of the distal ureter owing to gynecologic procedures. Reconstructive laparoscopic procedures are still evolving. METHODS:Six patients with ureterovaginal fistula in whom endoscopic management had failed underwent laparoscopic ureteroneocystostomy with a psoas hitch between July 2003 and December 2004. RESULTS:All procedures were completed successfully. No intraoperative or postoperative complications were noted. Postoperative intravenous urography did not reveal any evidence of obstruction. No reflux was seen in 5 of the 6 patients during micturating cystography. CONCLUSIONS:Laparoscopic ureteroneocystostomy is a safe and feasible minimally invasive option for patients with gynecologic distal ureteral injury.

journal_name

Urology

journal_title

Urology

authors

Modi P,Goel R,Dodiya S

doi

10.1016/j.urology.2005.04.048

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

751-3

issue

4

eissn

0090-4295

issn

1527-9995

pii

S0090-4295(05)00597-2

journal_volume

66

pub_type

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