Successful treatment of upper ureteral injury using renal autotransplantation
Department of Urology, Kaunas University of Medicine, Lithuania
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Author to whom correspondence should be addressed.
Medicina 2009, 45(12), 988; https://doi.org/10.3390/medicina45120126
Submission received: 23 January 2008
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Accepted: 7 December 2009
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Published: 12 December 2009
Abstract
Introduction. Ureteral injuries are uncommon. Upper ureteral defect more than 7–8 cm in length is a challenge for urologists, requiring experience and several steps in its management. We report a case of iatrogenic upper urinary tract injury and successful treatment of 8-cm ureteral defect using autotransplantation of the kidney.
Case report. A male patient underwent surgery due to retroperitoneal tumor. Iatrogenic ureteral injury was recognized 18 days after operation. Three-step management of urinary tract injury was performed. The first step included minimally invasive recovery of the urine flow and treatment of infection. The second step was unsuccessful renal descensus and new formation ureteropyeloanastomosis because of difficulties of kidney mobilization caused by previous surgery. The third step included a successful autotransplantation of the kidney and complete reconstruction of the urinary tract.
Conclusions. Autotransplantation can be successfully used for the management of long upper ureteral injury in referral urological centers.
Case report. A male patient underwent surgery due to retroperitoneal tumor. Iatrogenic ureteral injury was recognized 18 days after operation. Three-step management of urinary tract injury was performed. The first step included minimally invasive recovery of the urine flow and treatment of infection. The second step was unsuccessful renal descensus and new formation ureteropyeloanastomosis because of difficulties of kidney mobilization caused by previous surgery. The third step included a successful autotransplantation of the kidney and complete reconstruction of the urinary tract.
Conclusions. Autotransplantation can be successfully used for the management of long upper ureteral injury in referral urological centers.
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MDPI and ACS Style
Milonas, D.; Stirbys, S.; Jievaltas, M. Successful treatment of upper ureteral injury using renal autotransplantation. Medicina 2009, 45, 988. https://doi.org/10.3390/medicina45120126
AMA Style
Milonas D, Stirbys S, Jievaltas M. Successful treatment of upper ureteral injury using renal autotransplantation. Medicina. 2009; 45(12):988. https://doi.org/10.3390/medicina45120126
Chicago/Turabian StyleMilonas, Daimantas, Saulius Stirbys, and Mindaugas Jievaltas. 2009. "Successful treatment of upper ureteral injury using renal autotransplantation" Medicina 45, no. 12: 988. https://doi.org/10.3390/medicina45120126
