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VERSATILITY OF THE ADULT PSOAS HITCH URETERAL REIMPLANTATION

1997; Lippincott Williams & Wilkins; Volume: 158; Issue: 6 Linguagem: Inglês

10.1016/s0022-5347(01)68160-6

1527-3792

Ranjiv Mathews, Fray F. Marshall,

Infectious Aortic and Vascular Conditions

No AccessJournal of UrologyClinical Urology: Original Articles1 Dec 1997VERSATILITY OF THE ADULT PSOAS HITCH URETERAL REIMPLANTATION Ranjiv Mathews and Fray F. Marshall Ranjiv MathewsRanjiv Mathews and Fray F. MarshallFray F. Marshall View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)68160-6AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The psoas hitch ureteral reimplant has been described in the literature as an excellent method to restore ureterovesical continuity in patients with ureteral defects of various etiologies. However, long-term data on the durability of this procedure are lacking. We retrospectively reviewed patients who underwent ureteral reconstruction using the psoas hitch reimplantation to determine long-term efficacy. Materials and Methods: Ureteral reimplantation in the adult is frequently performed in the setting of ureteral tissue loss secondary to resection or injury. The psoas hitch reimplantation is a simple, versatile technique that avoids the inclusion of intestinal segments and can be used in most patients requiring reimplantation. Indications for surgery and the long-term followup were examined in 20 patients undergoing reimplantation using the psoas hitch. Results: The indications for ureteral reconstruction included surgical injury in 13 cases, recurrent pyelonephritis with reflux in 1, obstruction secondary to cancer in 2, trauma in 1, retroperitoneal fibrosis in 1 and ureteral stricture in 2. At followup of 1 to 14 years (mean 6) 17 patients have not required further intervention for urological problems and have retained normal renal function. In the 2 patients with cancer ileal conduit was performed later and in 1 flank pain persisted despite negative urological evaluation. Conclusions: Psoas hitch ureteral reimplantation can be used successfully for bridging various ureteral defects in difficult clinical situations. Adequate renal and bladder mobilization will allow reconstruction despite long ureteral defects. References 1 : A neglected maneuver for ureterovesical reimplantation following injury at gynecological operations.. J. Urol.1968; 100: 280. Abstract, Google Scholar 2 : Use of the mobilized bladder to replace the pelvic ureter.. J. Urol.1969; 101: 40. Abstract, Google Scholar 3 : Partial vesical immobilization: an important adjunct to ureteroneocystostomy.. J. Urol.1970; 103: 147. Abstract, Google Scholar 4 : Ureterovesical anastomosis, the description and evaluation of a technique.. J. Urol.1959; 82: 573. Abstract, Google Scholar 5 : The treatment of urologic complications in gynecology.. J. Urol.1956; 75: 438. Abstract, Google Scholar 6 : Early aggressive management of intraoperative ureteral injuries.. J. Urol.1975; 114: 530. 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Abstract, Google Scholar From the James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, Maryland.Accepted for publication May 9, 1997.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 158Issue 6December 1997Page: 2078-2082 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information Ranjiv Mathews More articles by this author Fray F. Marshall More articles by this author Expand All Advertisement PDF downloadLoading ...