The Journal of urology · 1996
The use of an extended spiral bladder flap for treatment of upper ureteral loss.
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Chang S S, Koch M O
Аннотация
PURPOSE: We demonstrated the effectiveness of an extended spiral bladder flap procedure for repair of upper ureteral injuries.
MATERIALS AND METHODS: Two patients with extensive ureteral loss underwent repair with a modified bladder flap based posterolaterally on the affected side, spiraled anteriorly and inferolaterally toward the contralateral bladder base, and then anastomosed directly to the renal pelvis.
RESULTS: With this technique renal function was preserved in both patients without obstruction on followup radiographs.
CONCLUSIONS: Using this extended bladder flap technique a well vascularized urothelial repair can be achieved for upper ureteral injury in select patients.
MATERIALS AND METHODS: Two patients with extensive ureteral loss underwent repair with a modified bladder flap based posterolaterally on the affected side, spiraled anteriorly and inferolaterally toward the contralateral bladder base, and then anastomosed directly to the renal pelvis.
RESULTS: With this technique renal function was preserved in both patients without obstruction on followup radiographs.
CONCLUSIONS: Using this extended bladder flap technique a well vascularized urothelial repair can be achieved for upper ureteral injury in select patients.