Strategies for open reconstruction of upper ureteral strictures

Urol Clin North Am. 2013 Aug;40(3):351-61. doi: 10.1016/j.ucl.2013.04.005. Epub 2013 Jun 18.

Abstract

This article presents a review of the literature regarding surgical techniques and outcomes for reconstruction of strictures involving the upper ureter. The preoperative assessment for proximal ureteral stricture is briefly reviewed, followed by a discussion of ureteroureterostomy, transureteroureterostomy, ureterocalicostomy, bladder flaps, downward nephropexy, bowel interposition grafts, onlay or tubular grafting, renal autotransplantation, and nephrectomy. The future direction for reconstruction of the proximal ureter is proposed.

Keywords: Bladder flap; Ileal ureter; Reconstruction; Stricture; Ureter.

Publication types

  • Review

MeSH terms

  • Anastomosis, Surgical
  • Colon / transplantation
  • Constriction, Pathologic / diagnostic imaging
  • Constriction, Pathologic / surgery
  • Humans
  • Ileum / transplantation
  • Kidney / surgery*
  • Kidney Transplantation
  • Radiography
  • Transplantation, Autologous
  • Ureter / surgery*
  • Ureteral Obstruction / diagnostic imaging
  • Ureteral Obstruction / surgery*
  • Urinary Bladder / surgery*
  • Urologic Surgical Procedures*