Laparoscopic Ureteroneocystostomy and Psoas Hitch for Post-Hysterectomy Ureterovaginal Fistula

Modi, Pranjal; Gupta, Rahul; Rizvi, Syed Jamal

doi:10.1016/j.juro.2008.04.029

Cited by 55 publications

(32 citation statements)

References 19 publications

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“…Laparoscopic extravesical Lich-Gregoir ureteroneocystostomy has a success rate of 90-100% [19]. Successful outcomes were also reported with this technique in lower ureteric strictures from our institute [20].…”

Section: Discussionmentioning

confidence: 97%

“…It also gives an additional length of lower ureter for non-refluxing anastomosis and also the angulation at anastomosis doesn't change irrespective of the filling state of the bladder. Non-refluxing anastomosis was advocated because this condition was found in the age group of those who were sexually active and were predisposed to recurrent UTI [19]. …”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic Extravesical Lich-Gregoir Ureteroneocystostomy with Psoas Hitch for the Management of Ureterovaginal Fistula in Post-Hysterectomy Patients

et al. 2015

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Introduction: Most commonly ureterovaginal fistula occurs due to surgical injury inflicted to the distal ureter and because of gynaecological procedures. Open surgical repair is a standard procedure and commonly involves ureteroneocystostomy. Methods: We retrospectively reviewed data of 9 patients, who underwent laparoscopic extravesical Lich-Gregoir ureteroneocystostomy using the psoas hitch procedure for ureterovaginal fistulas following hysterectomy during the period December 2012-August 2014. Transperitoneal laparoscopic ureteroneocystostomy was performed in all cases. Results: The mean operative time was 212 min (range 170-310) and estimated blood loss was 108 ml (range 70-150). Average hospital stay was 5.7 days. Follow-up time was from 6 to 26 months. Postoperative intravenous urography was done after 3 months, which showed patent anastomosis in 8 patients except for 1 patient who had nonvisualization of the ipsilateral renal moiety. Voiding cystogram done at 3 months showed no leakage in all patients. In the postoperative period, 1 patient had recurrent ipsilateral pyelonephritis 2 weeks after surgery, while another patient had febrile UTI. Apart from these no major complications were observed. Conclusion: Laparoscopic ureteroneocystostomy with psoas hitch can be performed safely with a success rate compared to that of open surgery but with less morbidity and quick convalescence.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Laparoscopic Extravesical Lich-Gregoir Ureteroneocystostomy with Psoas Hitch for the Management of Ureterovaginal Fistula in Post-Hysterectomy Patients

et al. 2015

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“…It can be performed by extra or intra-vesical technique using Politano-Leadbetter, Lich-Gregoir, the Boari technique (Boari's flap) or psoas-hitch technique in cases of major stenoses. In the literature, the performance of reimplant with the Boari or psoas-hitch technique is described with favorable results and low occurrence of reflux (7)(8)(9). In these cases, the laparoscopic access offers advantages such as mobilization of the bladder, ureter and kidney, making the anastomosis easier and without tension and/or adequate size of the vesical flap.…”

Section: Commentsmentioning

confidence: 99%

Laparoscopic ureteral reimplant for ureteral stricture

Soares¹,

Abreu²,

Távora³

2010

Int. braz j urol.

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Purpose: Evaluate the initial experience of laparoscopic ureteral reimplant for ureteral stenosis. Materials and Methods: From January 2004 to June 2008, 10 patients underwent 11 laparoscopic reconstruction surgeries for ureteral stenosis. Seven cases of stenosis of the distal ureter, two at the level of iliac vessels, a case of bilateral distal stenosis and one in the medium third. Eight ureteroneocystotomies were performed by extravesical technique with antireflux mechanism, two cases of vesical reimplant with Boari technique and one case using the psoas hitch technique. Results: The average surgical time was 166 minutes (115-245 min), mean blood loss was 162 mL (100-210 mL) and the average hospital stay was 2.9 days (2-4 days). There were two complications: a lesion of the sigmoid colon identified peroperatively and treated with laparoscopic sutures with good evolution, and a case of ureteral stone obstruction at the 30th day postoperative, treated by laser ureterolitotripsy. All patients had resolution of the stenosis at an average followup period of 18 months (3-54 months). Conclusion: Laparoscopic surgery represents a feasible, safe and low morbidity technique for ureteral reimplant in ureteral stenosis.

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“…Selzman et al observed an 11% stricture rate after 1 year following open ureteral reimplantations for ureteral injury (23). The median follow-up time was 35 months, which represents one of the longest for a laparoscopic ureteral reimplantation series (9,24). The results are comparable to open surgery with the advantages of a minimally invasive procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Laparoscopy provides patients the advantages of quicker recovery, low postoperative morbidity, less postoperative pain, less blood loss and better cosmesis (7,8). Successful results using laparoscopic ureteral reimplantations have been reported in the literature to treat ureteral strictures, iatrogenic injuries, VUR, and ureterovaginal fistulas (8,9). It demonstrates that laparoscopic ureteral reimplantation has comparable functional outcomes to open surgery (8).…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic extravesical ureteral reimplantation (LEVUR): a systematic review

et al. 2017

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Background: Laparoscopic ureteral reimplantation is a feasible method for treating ureteral pathology with good preliminary results in the literature. In this study, we review medium term results for laparoscopic ureteral reimplantation and discuss current developments of this procedure.Methods: Medline and Embase databases were searched using relevant key terms to identify reports of paediatric laparoscopic extravesical ureteral reimplantation (LEVUR). Literature reviews, case reports, series of <3 children and adult studies (age >20 years) were excluded.Results: Five studies were assessed, overall, 69 LEVUR were performed in children. Despite different surgical technique, in all case the technique was respected. Patient demographics, preoperative symptoms, radiological imaging, complications, and postoperative outcomes were analyzed. Median success rate was 96%. Complications were reported in five cases.Conclusions: This study is limited by the data given in the individual series: varied criteria used for patient selection and outcome as well as inconsistent pre-and post-operative imaging data precluded a metaanalysis. But it demonstrates that the laparoscopic ureteral reimplantation is an effective procedure with good medium-term results. We believe that in well selected patients this procedure will become an established treatment option.

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Laparoscopic Ureteroneocystostomy and Psoas Hitch for Post-Hysterectomy Ureterovaginal Fistula

Abstract: Laparoscopic ureteroneocystostomy with a psoas hitch for ureterovaginal fistula secondary to hysterectomy is safe and effective, and associated with a low incidence of postoperative reflux and obstruction.

Cited by 55 publications

References 19 publications

Laparoscopic Extravesical Lich-Gregoir Ureteroneocystostomy with Psoas Hitch for the Management of Ureterovaginal Fistula in Post-Hysterectomy Patients

Laparoscopic Extravesical Lich-Gregoir Ureteroneocystostomy with Psoas Hitch for the Management of Ureterovaginal Fistula in Post-Hysterectomy Patients

Laparoscopic ureteral reimplant for ureteral stricture

Laparoscopic extravesical ureteral reimplantation (LEVUR): a systematic review

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