Ureteral replacement with reconfigured colon substitute

John Pope, Michael O. Koch

Research output: Contribution to journalArticle

31 Scopus citations

Abstract

Purpose: Upper ureteral defects are often too extensive to repair by direct anastomosis or with use of a bladder flap. Ureteral substitution may be the only remaining alternative to restoring urinary drainage from the kidney to the bladder. This effect is usually achieved by interposing a segment of small bowel between the proximal collecting system and bladder. If ileum is not available other substitution alternatives must be sought. Materials and Methods: We report a new technique in which a tube constructed from a small piece of ascending colon was used to replace a large ureteral defect. Results: Excellent short-term results were achieved by replacing the strictured ureteral segment with a reconfigured colon segment as shown by symptomatic and radiographic improvement. Conclusions: A reconfigured colon segment can be used for ureteral reconstruction in the patient with limited alternatives. This tube has several advantages for ureteral reconstruction over ileal segments.

Original languageEnglish (US)
Pages (from-to)1693-1695
Number of pages3
JournalJournal of Urology
Volume155
Issue number5
DOIs
StatePublished - May 1996
Externally publishedYes

Keywords

  • colon
  • tissue transplantation
  • ureter
  • ureteral obstruction

ASJC Scopus subject areas

  • Urology

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