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The management of total avulsion of the ureter from both ends: Our experience and literature review
- Source :
- Archivio Italiano di Urologia e Andrologia, Vol 88, Iss 2, Pp 97-100 (2016)
- Publication Year :
- 2016
- Publisher :
- PAGEPress Publications, 2016.
-
Abstract
- Objective: To evaluate the treatment modalities of total ureteral avulsion and to clarify the risk factors of this serious complication. Methods: This study retrospectively analyzed the data of 3 patients with complete ureteral avulsion during ureteroscopy. Of the three patients, two had distal ureteral complete avulsion, and one total ureteral avulsion on both ends. Ureteroneocystostomy (UNC) was immediately performed after distal ureteral avulsion cases. Ileal ureter substition was performed on the same session after the total ureteral avulsion in both ends. Two of the patients were under chronic use of corticosteroid treatment due to diagnosis of idiopathic trombocytopenic purpura and myastenia gravis and all patients had unsuccesful shockwave litotripsy (SWL) treatment history with at least 1 month period before surgery. Results: The patient who had ileal ureter substitution was followed at 3-month intervals by ultrasonography and renal function tests and she was uneventful after a 2 year follow-up period. The patients treated with UNC were followed up at 3 month interval by ultrasonography and renal function tests. They had normal renal function 1 year after the operation Conclusion: Complete ureteral avulsion is a rare but severe complication. Treatment modality can vary and ileal ureter can be applied succesfully in the total ureter avulsion in both ends when bladder capacity is not enough for a Boari flap. Failed SWL and/or corticosteroid treatment history of patients seems to increase the risk of the ureteral avulsion.
- Subjects :
- Adult
Male
medicine.medical_specialty
Cystostomy
Urology
medicine.medical_treatment
030232 urology & nephrology
Lithotripsy
lcsh:RC870-923
urologic and male genital diseases
Ureterorenoscopy
Urologic Surgical Procedure
Avulsion
03 medical and health sciences
0302 clinical medicine
Ureter
Risk Factors
Ureteroscopy
medicine
Humans
Ureteral Diseases
Aged
Retrospective Studies
medicine.diagnostic_test
urogenital system
business.industry
Retrospective cohort study
lcsh:Diseases of the genitourinary system. Urology
female genital diseases and pregnancy complications
Surgery
medicine.anatomical_structure
030220 oncology & carcinogenesis
Urologic Surgical Procedures
Female
Complication
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 22824197 and 11243562
- Volume :
- 88
- Database :
- OpenAIRE
- Journal :
- Archivio Italiano di Urologia e Andrologia
- Accession number :
- edsair.doi.dedup.....7920eb82f36f217a4b11a757463f5265