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Trans‐uretero‐ureterostomy: British Experience*
Author(s) -
SMITH IRVINE B.,
SMITH JOE C.
Publication year - 1975
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1975.tb06251.x
Subject(s) - ureterostomy , ureter , medicine , nephrectomy , anastomosis , surgery , spare part , kidney , spare time , general surgery , operations management , cancer , bladder cancer , economics , cystectomy
Summary 158 replies to a questionnaire suggest that many British surgeons remain wary of using trans‐uretero‐ureterostomy, fearing to risk the opposite ureter and kidney or preferring to use a Boari flap or other operation. 141 (27 personal and 114 reported) cases are surveyed. 56 simple Y‐anastomoses performed by 27 surgeons gave very good results, with only 4 exceptions due to wrong indications or techniques. Complications were rare. No damage to any opposite ureter or kidney by the procedure was reported. 10 operations enabling a solitary kidney to drain via the opposite spare ureter were all successful. We recommend that during nephrectomy any spare healthy ureter should be preserved so that, if necessary, it can be used to drain the opposite kidney.