Laparoscopic dissection of the intramural ureter to repair a complete transection of the distal ureter: Initial experience with a new minimally invasive technique that preserves the anatomy of the urinary tract

Authors

  • Alvaro Juarez-Soto
  • Jose Miguel Arroyo-Maestre
  • Manuel Soto-Delgado
  • Pastora Beardo-Villar
  • Miguel Angel Arrabal-Polo San Cecilio University Hospital
  • Francisco M Sanchez-Margallo

DOI:

https://doi.org/10.5489/cuaj.1699

Keywords:

Ureteral injury, Laparoscopic dissection, Intramural ureter

Abstract

We report 2 patients with ureteral injury after a simple total laparoscopic hysterectomy for uterine myoma with a complete resection of the distal ureter. One patient had unilateral injury and the other 2 patients had bilateral injury. The surgical laparoscopic repair procedure was carried out 3 to 5 days after the injury. Surgery involved intramural dissection of the distal ureteral stump to expose at least 1 cm of the ureter, percutaneous ureteral stent placement, elimination of tension between the proximal ureter and the dissected distal stump, end-to-end anastomosis, and reinsertion of the distal ureter into the bladder muscle layer, which was previously dissected for the anastomosis.

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Published

2014-05-21

How to Cite

Juarez-Soto, A., Arroyo-Maestre, J. M., Soto-Delgado, M., Beardo-Villar, P., Arrabal-Polo, M. A., & Sanchez-Margallo, F. M. (2014). Laparoscopic dissection of the intramural ureter to repair a complete transection of the distal ureter: Initial experience with a new minimally invasive technique that preserves the anatomy of the urinary tract. Canadian Urological Association Journal, 8(5-6), e366–70. https://doi.org/10.5489/cuaj.1699

Issue

Vol. 8 No. 5-6 (2014): CUAJ May

Section

Case Report

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