Ureteral realignment with combined access as a treatment of complete ureteral transection

  • Jorge Panach-Navarrete | jorge.panach@uv.es Department of Urology, University Clinic Hospital of Valencia. Facultat de Medicina i Odontologia, Universitat de València, Valencia, Spain.
  • Marcos Antonio Lloret-Durà Department of Urology, University Clinic Hospital of Valencia. Facultat de Medicina i Odontologia, Universitat de València, Valencia, Spain.
  • María Medina-González Department of Urology, University Clinic Hospital of Valencia. Facultat de Medicina i Odontologia, Universitat de València, Valencia, Spain.
  • José María Martínez-Jabaloyas Department of Urology, University Clinic Hospital of Valencia. Facultat de Medicina i Odontologia, Universitat de València, Valencia, Spain.

Abstract

Ureteral realignment using a ureteral stent can be an alternative treatment in cases of complete ureteral transection and may avoid the need for reconstructive surgery. The combined access can help the passage of the guidewire through the injured area and the threading of the urinary system of the patient. We present a case of a 38-year-old man with multiples abdominal surgeries, who underwent a complete ureteral section treated with ureteral realignment with combined access. The subsequent evolution was favourable, with resolution of the ureteral injury at the acute time, and without the presence of long-term obstruction. Although we must accept that the standard treatment of the complete ureteral transection is reconstruction and anastomosis, in cases such as the one prsented, with multiple abdominal surgeries and whenever it is technically feasible, ureteral realignment may be a treatment option.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.
Published
2019-10-02
Info
Issue
Section
Case Reports
Keywords:
Ureteral transection, Ureteral trauma, Endourology, Ureteral realignment
Statistics
  • Abstract views: 587

  • PDF: 197
How to Cite
Panach-Navarrete, J., Lloret-Durà, M. A., Medina-González, M., & Martínez-Jabaloyas, J. M. (2019). Ureteral realignment with combined access as a treatment of complete ureteral transection. Archivio Italiano Di Urologia E Andrologia, 91(3). https://doi.org/10.4081/aiua.2019.3.202