Psoas-Hitch Ureteroneocystostomy: Experience with 181 Cases

Riedmiller, H.; Becht, E.; Hertle, L.; Jacobi, G. H.; Hohenfellner, R

doi:10.1159/000463777

Cited by 74 publications

(39 citation statements)

References 11 publications

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“…We believe that ureteroneocystostomy should be performed in techniques allowing retrograde manipulation. Other antireflux operations such as the Lich-Gregoir and Psoas-Hitch technique [18,19] allow for retrograde ureteral manipulation. Since September 1987 we are utilizing the Storz Q-switched neodymium-YAG laser for stone disintegration where local shockwave therapy has failed (upper and lower ureter) and as a primary approach to stones in the midureter.…”

Section: Resultsmentioning

confidence: 99%

Local Shock-Wave Lithotripsy of Distal Ureteral Calculi

Ge¹,

Dm²,

Stöckle³

et al. 1988

Eur Urol

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Section: Resultsmentioning

confidence: 99%

Local Shock-Wave Lithotripsy of Distal Ureteral Calculi

Ge¹,

Dm²,

Stöckle³

et al. 1988

Eur Urol

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“…If such a ureter lesion is discovered intraoperatively, this is the preferred reconstruction method. If the diagnosis is made later, reconstruction should be left for at least 6-8 weeks [33].…”

Section: Psoas Hitch Plastymentioning

confidence: 99%

“…In our opinion, it is recommendable to perform the ureterocystostomy anti-refluxively to guarantee as physiological circumstances as possible, but this is discussed controversially in references [34]. When implanting it is very important that the ureter has as straight a progression as possible to avoid bends in the area of the implant position [33] Ureterocystosomy If the ureter lesion is directly para or prevesicular, it is possible to perform a ureterocystosomy without a bladder mobilisation in some cases. But it is important that the implantation, as in the Psoas Bladder Hitch Plasty, is performed without any tension at all.…”

Section: Psoas Hitch Plastymentioning

confidence: 99%

Ureter Complications: A Rare Complication but which Requires the Highest Degree of Management Expertise

et al. 2018

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Introduction: 0% of all urinary tract injuries are iatrogenic lesions. Although they only occur in < 5%, they can lead to severe ipsilateral renal dysfunctions. These lesions can be treated with extensive knowledge on the genesis of the lesion, the anatomy, the individual patient’s history and high operative expertise in diverse surgical methods. Material and Methods: In this article, we show which reconstruction options are possible, depending on the lesion’s severity according to the AAST and EAU Guidelines from 2009 on the classification of ureter injuries, as well as the localisation. A special focus is on the anatomy. It is important to adhere to surgical ground principles, such as making sure all pathological tissue is removed, the ureter ends are spatulated and a tension-free and watertight anastomosis is maintained. Results: Iatrogenic ureter lesions are rare complications, but being able to deal with these frequently requires a urologist’s expertise. Whenever surgeons operate close to the ureters, there is always a risk of an iatrogenic ureter lesion, which in turn requires that all available reconstructive measures are used dynamically. Conclusion: Ureter complications are rare but require surgeons’ excellent management expertise.

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“…Longer defects require complex procedures such as psoas-hitch ureteral reimplantation often combined with a Boari flap. Traditionally, open ureteral reimplantation has been the gold standard for ureteral reconstruction (1,2,(4)(5)(6). Laparoscopy provides patients the advantages of quicker recovery, low postoperative morbidity, less postoperative pain, less blood loss and better cosmesis (7,8).…”

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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Psoas-Hitch Ureteroneocystostomy: Experience with 181 Cases

Cited by 74 publications

References 11 publications

Local Shock-Wave Lithotripsy of Distal Ureteral Calculi

Local Shock-Wave Lithotripsy of Distal Ureteral Calculi

Ureter Complications: A Rare Complication but which Requires the Highest Degree of Management Expertise

Laparoscopic extravesical ureteral reimplantation (LEVUR): a systematic review

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