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Total proximal ureter substitution using buccal mucosa
Author(s) -
Fahmy Omar,
Schubert Tina,
KhairulAsri Mohd Ghani,
Stenzl Arnulf,
Gakis Georgios
Publication year - 2017
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/iju.13307
Subject(s) - medicine , buccal mucosa , urethroplasty , autotransplantation , surgery , ureter , buccal administration , urology , transplantation , dentistry , oral cavity , urethra
The surgical treatment of a long proximal ureteral stricture is a challenging situation for reconstructive surgeons. Despite the underlying morbidities, ileal interposition and autotransplantation are the options available to treat complex cases of long segment ureteral stricture. Buccal mucosa has shown excellent results in urethroplasty. However, its use in ureteral reconstruction is infrequent. We report on a 64‐year‐old female patient with multiple comorbidities and prior abdominal surgeries for Crohn's disease who underwent a successful total substitution of a long segment of the proximal ureter using buccal mucosa. Regular postoperative isotope scans showed improvement in renal function. Based on the pleasant outcome of this case and review of the literature, buccal mucosa might be a viable option with low morbidity in selected cases.