Combined End-Side Separate Channel Ureteroneocystostomy with Boari Flap to Treat Bilateral Long-Segment Ureteral Defects

Abstract

atrogenic ureteric injury is a well-recognized complication of radical hysterectomy occurring in 5-30% of cases. If such injury is not recognized immediately, it may lead significant morbidity and mortality. 1,2 Bilateral injuries are rare, and documented in the literature as case reports causing ureteral stenosis in both ureter. 2,3 Injuries recognized during the initial surgery are usually treated with immediate open repair over a ureteric stent. The localization, length and etiology of stricture affect the surgical modality. Management of bilateral long ureteral defects is a potentially challenging reconstructive problem when the ureteral length is insufficient for direct anastomosis or reimplantation. The standard methods of surgical management used for unilateral injury may need to be modified or used in