Urethral replacement with ureter

M. E. Mitchell, M. C. Adams, R. C. Rink

Research output: Contribution to journalArticle

18 Scopus citations


Proximal or total urethral replacement was performed in 8 patients using distal ureter. This was accomplished by basing the ureteral segment solely on a vascular pedicle arising from the internal iliac artery. Diagnoses included classical bladder exstrophy in 4 patients, cloacal exstrophy in 3 and an imperforate anus with hypoplasia of the bladder neck and urethra in 1. Continence was achieved by a tunneled submucosal reimplantation into either the bladder (4 cases), gastric reservoir (2) or colonic reservoir (2). Although an isolated distal segment of ureter was used in each case, all segments have remained viable. With limited followup (5 to 44 months) continence with either normal voiding or intermittent catheterization has been achieved in 7 of the 8 patients. A distal ureter segment should be considered potentially useful in the construction or reconstrction of the proximal (male) or total (female) urethra in patients with congenital urethral malformations.

Original languageEnglish (US)
Pages (from-to)1282-1285
Number of pages4
JournalJournal of Urology
Issue number6
StatePublished - Jan 1 1988

ASJC Scopus subject areas

  • Urology

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    Mitchell, M. E., Adams, M. C., & Rink, R. C. (1988). Urethral replacement with ureter. Journal of Urology, 139(6), 1282-1285. https://doi.org/10.1016/S0022-5347(17)42893-X