The use of an extended spiral bladder flap for treatment of upper ureteral loss

Sam S. Chang, Michael Koch

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Purpose: We demonstrated the effectiveness of an extended spiral bladder flap procedure for repair of upper ureteral injuries. Materials and Methods: Two patients with extensive ureteral loss underwent repair with a modified bladder flap based posterolaterally on the affected side, spiraled anteriorly and inferolaterally toward the contralateral bladder base, and then anastomosed directly to the renal pelvis. Results: With this technique renal function was preserved in both patients without obstruction on followup radiographs. Conclusions: Using this extended bladder flap technique a well vascularized urothelial repair can be achieved for upper ureteral injury in select patients.

Original languageEnglish (US)
Pages (from-to)1981-1983
Number of pages3
JournalJournal of Urology
Volume156
Issue number6
DOIs
StatePublished - Dec 1996
Externally publishedYes

Fingerprint

Urinary Bladder
Kidney Pelvis
Wounds and Injuries
Therapeutics
Kidney

Keywords

  • bladder
  • surgical flaps
  • ureter
  • wounds and injuries

ASJC Scopus subject areas

  • Urology

Cite this

The use of an extended spiral bladder flap for treatment of upper ureteral loss. / Chang, Sam S.; Koch, Michael.

In: Journal of Urology, Vol. 156, No. 6, 12.1996, p. 1981-1983.

Research output: Contribution to journalArticle

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AB - Purpose: We demonstrated the effectiveness of an extended spiral bladder flap procedure for repair of upper ureteral injuries. Materials and Methods: Two patients with extensive ureteral loss underwent repair with a modified bladder flap based posterolaterally on the affected side, spiraled anteriorly and inferolaterally toward the contralateral bladder base, and then anastomosed directly to the renal pelvis. Results: With this technique renal function was preserved in both patients without obstruction on followup radiographs. Conclusions: Using this extended bladder flap technique a well vascularized urothelial repair can be achieved for upper ureteral injury in select patients.

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