1. Combined Y-shaped common channel transureteroureterostomy with Boari flap to treat bilateral long-segment ureteral strictures
- Author
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Sun-Yran Chang, En Meng, Shou-Hung Tang, Guang-Huan Sun, Sheng-Tang Wu, Chin-Li Chen, Dah-Shyong Yu, Chih-Wei Tsao, and Tai-Lung Cha
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,Case Report ,Constriction, Pathologic ,urologic and male genital diseases ,Surgical Flaps ,General Biochemistry, Genetics and Molecular Biology ,Ureteral stricture ,Ureter ,medicine ,Humans ,Stage (cooking) ,Idiopathic Retroperitoneal Fibrosis ,Medicine(all) ,Radiation ,Biochemistry, Genetics and Molecular Biology(all) ,urogenital system ,business.industry ,General Medicine ,Middle Aged ,female genital diseases and pregnancy complications ,Surgery ,Radiation therapy ,medicine.anatomical_structure ,Percutaneous nephrostomy ,Double-J catheter ,Female ,Transureteroureterostomy ,Ureteral Stricture ,Boari flap ,Complication ,business - Abstract
Background: Ureteral stricture is a complication of several etiologies including idiopathic retroperitoneal fibrosis, infection, radiotherapy, instrumentation, and surgical procedures. A variety of techniques have been reported for management. The transureteroureterostomy and bladder flap have been the standard procedures for repairing distal ureteral defects of unilateral ureter. Bilateral ureteral stricture is an uncommon condition that challenges usual reconstructive procedures. It is a difficult task to reconstruct the complex situation of bilateral ureteral strictures. Case presentation: A 54-year-old female underwent concurrent chemoradiotherapy for stage IVB squamous cell carcinoma of cervix. Subsequently, she had stricture of bilateral distal ureters with bilateral hydroureteronephrosis which was found by computed tomography. The renal function deteriorated during the follow-up period. She had periodic change of double-J stents and percutaneous nephrostomy. However, the renal function still deteriorated. We performed a combined Y-shaped common channel transureteroureterostomy with Boari flap to reconstruct bilateral long-segment ureteral strictures. The patient recovered uneventfully. Conclusion: Reconstruction of bilateral ureteral strictures is a difficult treatment. We developed a modified technique for the complex situation of bilateral ureteral strictures. To our knowledge, this has not been previously reported in the scientific literature and it is a feasible procedure to treat bilateral long-segment ureteral strictures.
- Published
- 2014
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