Ureteral Replacement with Reconfigured Colon Substitute

No AccessJournal of UrologyClinical Urology: Urologists At Work1 May 1996Ureteral Replacement with Reconfigured Colon Substitute John Pope and Michael O. Koch John PopeJohn Pope and Michael O. KochMichael O. Koch View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66166-4AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail 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. References 1 : Replacement of the ureter by small intestine: clinical application and results of the ileal ureter in 89 patients. J. Urol1979; 121: 728. Link, Google Scholar 2 : Lower pole calicostomy for the management of iatrogenic ureteropelvic junction obstruction. J. Urol1995; 153: 142. Abstract, Google Scholar Department of Urology, Vanderbilt University School of Medicine, and Department of Veteran's Affairs Hospital, Nashville, Tennessee.© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byOrdorica R, Wiegand L, Webster J and Lockhart J (2013) Ureteral Replacement and Onlay Repair with Reconfigured Intestinal SegmentsJournal of Urology, VOL. 191, NO. 5, (1301-1306), Online publication date: 1-May-2014.Lazica D, Ubrig B, Brandt A, von Rundstedt F and Roth S (2011) Ureteral Substitution With Reconfigured Colon: Long-Term FollowupJournal of Urology, VOL. 187, NO. 2, (542-548), Online publication date: 1-Feb-2012.ALI-EL-DEIN B and GHONEIM M (2018) Bridging Long Ureteral Defects Using the Yang-Monti PrincipleJournal of Urology, VOL. 169, NO. 3, (1074-1077), Online publication date: 1-Mar-2003.GALLENTINE M and HARMON W (2018) URETERAL SUBSTITUTION WITH A STAPLED NEOURETER: A SIMPLIFIED BOARI FLAPJournal of Urology, VOL. 166, NO. 5, (1869-1872), Online publication date: 1-Nov-2001.UBRIG B, WALDNER M and ROTH S (2018) RECONSTRUCTION OF URETER WITH TRANSVERSE RETUBULARIZED COLON SEGMENTSJournal of Urology, VOL. 166, NO. 3, (973-976), Online publication date: 1-Sep-2001.Liatsikos E, Dinlenc C, Kapoor R, Bernardo N, Pikhasov D, Anderson A and Smith A (2018) URETERAL RECONSTRUCTION: SMALL INTESTINE SUBMUCOSA FOR THE MANAGEMENT OF STRICTURES AND DEFECTS OF THE UPPER THIRD OF THE URETERJournal of Urology, VOL. 165, NO. 5, (1719-1723), Online publication date: 1-May-2001.KATO H, IGAWA Y and NISHIZAWA O (2018) TRANSVERSE COLON POUCH WITH TOTAL REPLACEMENT OF THE URETER BY RECONFIGURED COLON SEGMENTJournal of Urology, VOL. 161, NO. 6, (1902-1903), Online publication date: 1-Jun-1999.LEVEILLEE R, PINCHUK L, WILSON G and BLOCK N (2018) A NEW SELF-EXPANDING LINED STENT-GRAFT IN THE DOG URETER: RADIOLOGICAL, GROSS, HISTOPATHOLOGICAL AND SCANNING ELECTRON MICROSCOPIC FINDINGSJournal of Urology, VOL. 160, NO. 5, (1877-1882), Online publication date: 1-Nov-1998.WALDNER M, HERTLE L and ROTH S (2018) A SURGICAL TECHNIQUE COMBINING CONTINENT CUTANEOUS URINARY DIVERSION AND COMPLETE ILEAL URETERAL REPLACEMENTJournal of Urology, VOL. 160, NO. 5, (1784-1786), Online publication date: 1-Nov-1998. Volume 155Issue 5May 1996Page: 1693-1695 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information John Pope More articles by this author Michael O. Koch More articles by this author Expand All Advertisement PDF downloadLoading ...