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Abstract

Experimental Techniques in Urology & Nephrology

Ureterocalicostomy for Upper Ureteric Injury: Measure to Salvage the Renal Unit

  • Open or CloseAman Gupta1, Vidur Bhalla2 and Vivek Kumar Garg3*

    1Senior Resident, Department of Urology, GMCH, India

    2Associate Professor, Department of Urology, GMCH, India

    3Demonstrator, Department of Biochemistry, GMCH, India

    *Corresponding author:Vivek Kumar Garg, Demonstrator, Department of Biochemistry, GMCH, Chandigarh, India

Submission: January 23, 2020; Published: February 10, 2020

DOI: 10.31031/ETUN.2020.03.000552

ISSN: 2578-0395
Volume3 Issue1

Abstract

Ureterocalicostomy is a procedure for recurrent pelvic ureteric junction obstruction (PUJO), inaccessible renal pelvis and renal anomalies associated with PUJO. It requires meticulous dissection of peri pelvic region. A wide spatulated, tension free, mucosa to mucosa anastomosis, internal stenting and lower pole amputation are the key features for a successful outcome of Ureterocalicostomy. We had a patient of upper ureteric injury sustained during laparoscopic converted open adrenalectomy surgery. He also had undergone multiple previous right hypochondrium surgeries that resulted in severe peri pelvic and perinephric fibrosis. Ureterocalicostomy was successfully performed in the patient. We hereby emphasize the possibility of Ureterocalicostomy as a procedure of choice in a case of iatrogenic ureteric injury and inaccessible pelvis due to severe peri pelvic adhesions.

Keywords: Ureterocalicostomy; PUJ obstruction; Upper ureteric injury

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