The Ureter pp 187-192 | Cite as

Splinting Versus Nonsplinting in Ureteral Surgery

  • Lester Persky
  • James Krause


During the past 30 years, numerous experimental studies on animals and investigations of various surgical techniques from the clinical standpoint have contributed greatly to our understanding of ureteral healing and regeneration. Although differences of opinion exist on the desirability and necessity of intubated repair [18] as the facts learned from the animal models and experience from the clinical series become widely known, the indications for splints or their omission will become more standardized.


Ureteral Injury Good Drainage Penrose Drain Ureteral Wall Watertight Closure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Casey, W.C.: Unintubated pyeloplastic operations for hydronephrosis. Results in 21 cases. J. Urol. 81: 612, 1959.PubMedGoogle Scholar
  2. 2.
    Dale, G.A., et al.: Effect of urine flow on ureteral healing. Surg. Forum 26: 594, 1975.PubMedGoogle Scholar
  3. 3.
    Davis, D.M.: Intubated ureterotomy. A new operation for ureteral and ureteropelvic stricture. Surg. Gynecol. Obstet. 76: 513, 1943.Google Scholar
  4. 4.
    Davis, D.M.: Process of ureteral repair. Recapitulation of splinting question. J. Urol. 79: 215, 1958.PubMedGoogle Scholar
  5. 5.
    DeWeerd, J.H., et al.: Renal autotransplantation for upper ureteral stenosis. J. Urol. 116: 123, 1976.Google Scholar
  6. 6.
    Drake, W.M., Jr., Carroll, J., Bartone, F., Cottone, R.N., Kazal, H.L., Sumeral, S., Fetter, T.R.: Evaluation of materials used as ureteral splints. Surg. Gynecol. Obstet. 114: 47, 1962.PubMedGoogle Scholar
  7. 7.
    Gibson, T.E.: Hydronephrosis: its treatment in the solitary kidney. J. Urol. 81: 374, 1959.PubMedGoogle Scholar
  8. 8.
    Gold, F.M.: The use of Silastic tubular sheaths in ureteral repair. Invest. Urol. 5: 288, 1967.PubMedGoogle Scholar
  9. 9.
    Hamm, F.C., Weinberg, S.R.: Renal and ureteral surgery without intubation. J. Urol. 73: 475, 1955.PubMedGoogle Scholar
  10. 10.
    Hamm, F.C., Weinberg, S.R.: Experimental studies of regeneration of the ureter without intubation. J. Urol. 75: 43, 1956.PubMedGoogle Scholar
  11. 11.
    Hinman, F., Jr., Oppenheimer, R.O.F.: Ureteral regeneration. IV. Fascial covering compared with fatty connective tissue. J. Urol. 76: 729, 1956.PubMedGoogle Scholar
  12. 12.
    Hinman, F., Jr., Oppenheimer, R.O.F.: Ureteral regeneration. V. Eversión of entire wall. Surgery 42: 276, 1957.PubMedGoogle Scholar
  13. 13.
    Hinman, F., Jr., Oppenheimer, R.O.F.: Ureteral regeneration. VI. Delayed urinary flow in healing of unsplinted ureteral defects. J. Urol. 78: 138, 1957.PubMedGoogle Scholar
  14. 14.
    Leininger, J.T., Stewart, B.H.: The value of a stent in primary ureteral repair. Invest. Urol. 12: 272, 1975.PubMedGoogle Scholar
  15. 15.
    Lipshutz, H.: Ureteral injuries during abdominal and pelvic surgery. T-tube splinting in uretero- neocystostomy. J. Urol. 81: 728, 1959.PubMedGoogle Scholar
  16. 16.
    Mahoney, S.A., Koletsky, S., Persky, L.: Approximation and dilatation. Mode of healing of an unintubated ureterostomy. J. Urol. 88: 197, 1962.PubMedGoogle Scholar
  17. 17.
    McDonald, J.H., Calams, J.A.: Experimental ureteral stricture. Ureteral regrowth following ureterotomy with and without intubation. J. Urol. 84: 52, 1960.Google Scholar
  18. 18.
    Scott, R.: Current Controversies in Urologic Management. Philadelphia, Saunders, 1972, pp. 170–175.Google Scholar
  19. 19.
    Smart, W.R.: Evaluation of intubation ureterotomy with description of surgical technic. J. Urol. 85: 512, 1961.Google Scholar
  20. 20.
    Smith, B.A., Jr., Webb, E.A., Price, W.E.: Ureteroplastic procedures without diversion. J. Urol. 83: 116, 1960.PubMedGoogle Scholar
  21. 21.
    Weaver, R.G.: Effect of large caliber splints on ureteral healing. Surg. Gynecol. Obstet. 104: 238, 1957.Google Scholar
  22. 22.
    Weaver, R.G.: Ureteral regeneration: experimental and clinical. III. J. Urol. 79: 31, 1958.PubMedGoogle Scholar
  23. 23.
    Weaver, R.G., Henderson, J.H.: Ureteral regeneration: experimental and clinical. I. J. Urol. 72: 350, 1954.PubMedGoogle Scholar
  24. 24.
    Webb, E.A., Smith, B.A., Jr., Price, W.E.: Plastic operations on the ureter without intubation. J. Urol. 77: 821, 1957.PubMedGoogle Scholar
  25. 25.
    Wesolowski, S., et al.: Late results of intubation ureterotomy. Surg. Gynecol. Obstet. 139: 578, 1974.PubMedGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1981

Authors and Affiliations

  • Lester Persky
  • James Krause

There are no affiliations available

Personalised recommendations