[Ureteral reimplantation on psoas bladder: long-term results]

[Ureteral reimplantation on psoas bladder: long-term results] Research Abstract Details 

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[Ureteral reimplantation on psoas bladder: long-term results] Abstract Text:

OBJECTIVE: To evaluate indications and long-term results of ureteral reimplantation with psoas hitch bladder. MATERIALS AND METHODS: Between January 1985 and December 1997, we performed psoas-hitch ureteral reimplantation in 18 patients (13 females and 5 males). Mean age was 48 years old. All ureteral injuries involved a pelvic portion of the ureter. The indication was: ureteral injury during gynecological procedures in 5 cases, stricture following open uretero-lithotomy in 3 cases, avulsion of the ureter during ureteroscopy in 1 case, stricture following prior ureteral reimplantation in 3 cases, prostate cancer involving the distal ureter in 1 case, megaureter in 1 case, radiation therapy in 1 case, pelvic and ureteral endometriosis in 3 cases. Treatment consisted to adequate mobilization of the bladder, fixation of the posterolateral corner of the bladder to psoas and ureteral reimplantation with anti-reflux system. In all cases, psoas-hitch ureteral reimplantation has been performed because of an inability to perform end-to-end uretero-ureterostomy or direct uretero-neocystostomy. RESULTS: No complications were observed. At follow-up of 7 months to 12 years (mean 5.7 years) we noticed 13 success (72.4%), 4 improvements (22.2%) and one patient (5.4%) was lost at follow-up. No nephrectomy was done. CONCLUSION: Psoas-hitch bladder ureteral reimplantation is simple, effective and a first-line procedure for the replacement of the long defects of the lower ureter.

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[Ureteral reimplantation on psoas bladder: long-term results] Journal Published:

PUBLICATION TYPE: Review

Journal: Acta urologica Belgica

VOLUME: 66

Page Numbers: 15-20

Journal Abbreviation: Acta Urol Belg

ISSN: 0001-7183

DAY: 24

MONTH: Dec

YEAR: 1998

[Ureteral reimplantation on psoas bladder: long-term results] Information

Number of References: 24

LANGUAGE: fre

NlmUniqueID: 377045

[Ureteral reimplantation on psoas bladder: long-term results] Keywords Mesh Terms:

KEYWORDS: Urologic Surgical Procedures

MESH TERMS: methods

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Grant and Affiliation Information for [Ureteral reimplantation on psoas bladder: long-term results]

AFFILIATION: Service d'Urologie, CHU Rennes, France.

Country: BELGIUM

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MEDLINETA: Acta Urol Belg

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