Immediate successful renal autotransplantation after proximal ureteral avulsion fallowing ureteroscopy: a case report

Abstract

The patient was a 51-year-old lady with left flank colicky pain accompanied with nausea and vomiting for a month. Transurethral lithotripsy and ureteral stent placement was considered for the patient. The patient had a narrow ureteral lumen and while bringing the ureteroscope out, ureteral avulsion occurred at a distance approximately 4 cm from ureteropelvic junction. After bringing the uretroscope out, the avulsed ureter was observed hanging at the tip of the ureteroscope. Anastomosis of the ureter to the bladder was accomplished with Lich–Gregoir technique. A drainage tube was inserted at the site of incision and the surgical wound closed. The patient was discharged with acceptable general condition after 3 days and the drainage tube removed. The ureteral stent was removed 4 weeks later by cystoscopy. An ultrasound imaging study of the genitourinary system 8 months into the patients follow up showed normal size, echo and cortical thickness in the operated kidney after renal autotransplantation.

Bioinformatics analysis of C3 and CXCR4 demonstrates their potential as prognostic biomarkers in clear cell renal cell carcinoma (ccRCC)

“…In recent years, bioinformatics analysis of gene expression microarrays could help identify the potential target genes of diseases and provide the molecular characteristics, regulatory pathways and cellular networks of diseases [4]. The gene expression omnibus (GEO, www.ncbi.nlm.nih.gov/geo/) database is an international public functional genomics database, which stores common array and sequence data.…”

Reconstruction of full-length ureter defects by laparoscopic bladder flap forming

“…Ureteral avulsion, especially the full-length ureteral avulsion, is one of the most devastating but rare complications related to ureteroscopic surgery 9 . Hence, in order to improve the post-operative recover of the iatrogenic ureter ureteral avulsion, we improved the surgical procedure of Boari flap and evaluated the result of laparoscopic bladder muscle flap reconstruction in ten patients with full-length or upper ureteral avulsion after Iatrogenic ureteral injuries.…”

Management of ureteric avulsion during ureteroscopy: a systematic review and our experience

“…Though Boari flaps have been traditionally a part of the surgical armamentarium for replacement of distal ureter, it is a good option in proximal avulsions also provided the bladder capacity is good [18][19][20]. In centres with transplant expertise, autotransplantation is a good alternative with the nephrectomy part being done either by open or laparoscopic method [7,[21][22][23]. In spite of the complications associated with bowel interposition, ileal replacement still remains a good versatile option for replacement of long segments of ureter with proximal anastomosis to pelvis or lower pole calyx in cases where pelvis is fibrosed as was the case in our first patient [7,13,14,24,25].…”