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Reconstruction of the Renal Pelvis and Ureter

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Urologic Principles and Practice

Part of the book series: Springer Specialist Surgery Series ((SPECIALIST))

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Abstract

Ureteral strictures could be caused by many etiologies. Conservative option for management of strictures can be placement of double J ureteral stent, either plastic or metallic. The reconstructive surgical management of renal pelvis and ureteral strictures depends on the location and length of the defect as well as the quality of adjacent tissues. In summary, for short, uncomplicated ureteropelvic junction (UPJ) obstruction and proximal ureteral strictures, pyeloplasty and ureteroureterostomy (UU) are gold standards. For short defects involving the upper or mid-ureter, a ureteroureterostomy or transureterureterostomy (TUU) is appropriate. A short defect involving the lower ureter is usually managed by ureteroneocystotomy (UNC) with or without a psoas hitch and/or Boari flap. For long ureteral defects, reconstructive options include renal auto transplantation, TUU, or ureteral reconstruction using bowel segments such as an ileal ureter.

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Abbreviations

TUU:

Transureterostomy

UNC:

Ureteroneocystotomy

UPJ:

Ureteropelvic junction

UU:

Ureteroureterostomy

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Author information

Authors and Affiliations

  1. Department of Urologic Surgery, UC Davis Medical Center, Sacramento, CA, USA

    Jennifer G. Rothschild

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  1. Jennifer G. Rothschild
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Correspondence to Jennifer G. Rothschild .

Editor information

Editors and Affiliations

  1. Sheffield Teaching Hospitals NHS Foundation, Sheffield, UK

    Christopher R. Chapple

  2. Department of Urology, University of Virginia, Charlottesville, VA, USA

    William D. Steers

  3. Department of Urologic Surgery, University of California, Davis, Sacramento, CA, USA

    Christopher P. Evans

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Rothschild, J.G. (2020). Reconstruction of the Renal Pelvis and Ureter. In: Chapple, C., Steers, W., Evans, C. (eds) Urologic Principles and Practice. Springer Specialist Surgery Series. Springer, Cham. https://doi.org/10.1007/978-3-030-28599-9_25

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  • DOI: https://doi.org/10.1007/978-3-030-28599-9_25

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-28598-2

  • Online ISBN: 978-3-030-28599-9

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