Ureteral realignment with combined access as a treatment of complete ureteral transection.
Arch Ital Urol Androl
; 91(3)2019 Oct 02.
Article
en En
| MEDLINE
| ID: mdl-31577109
ABSTRACT
Ureteral realignment using a ureteral stent can be an alternative treatment in cases of complete ureteral transection and may avoid the need for reconstructive surgery. The combined access can help the passage of the guidewire through the injured area and the threading of the urinary system of the patient. We present a case of a 38-year-old man with multiples abdominal surgeries, who underwent a complete ureteral section treated with ureteral realignment with combined access. The subsequent evolution was favourable, with resolution of the ureteral injury at the acute time, and without the presence of long-term obstruction. Although we must accept that the standard treatment of the complete ureteral transection is reconstruction and anastomosis, in cases such as the one prsented, with multiple abdominal surgeries and whenever it is technically feasible, ureteral realignment may be a treatment option.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Uréter
Límite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Arch Ital Urol Androl
Asunto de la revista:
MEDICINA REPRODUTIVA
/
NEFROLOGIA
/
UROLOGIA
Año:
2019
Tipo del documento:
Article