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Urol Case Rep 2020 Nov 19;33:101265. Epub 2020 May 19.

Department of Urology, Einstein Healthcare Network, Philadelphia, PA, 19141, USA.

Cloacal exstrophy is a rare congenital syndrome which comprises multiple genitourinary, gastrointestinal and musculoskeletal anomalies. The long-term effects following childhood cloacal exstrophy management is poorly characterized in living adults. In this report, a 42-year-old female born with cloacal exstrophy presented after numerous prior surgical reconstructions with abdominal extrusion of a catheterizable ileal pouch and bilateral staghorn calculi. Read More

J Pediatr Urol 2020 Apr 19;16(2):190.e1-190.e6. Epub 2019 Dec 19.

Department of Paediatric Surgery, Christian Medical College, Vellore, India; Department of Paediatric Surgery, PSG Medical College and Hospital, Coimbatore, India.

Introduction: Transureteroureterostomy (TUU) provides urinary drainage of both renal systems to the bladder via a single ureter and is useful in selected situations of complex urological reconstructions. Herein we discuss its use, advantages and complications in children with neurogenic bladders and high-grade (4/5) reflux who have undergone augmentation cystoplasty.

Patients And Methods: Children with neurogenic bladder complicated by unilateral or bilateral high-grade vesicoureteric reflux (VUR), who underwent TUU along with augmentation cystoplasty (BA), were selected from two institutions. Read More

Urologiia 2019 Dec(5):109-111

Department of urology of FGBOU VO North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia.

In case of stricture of the lower third of ureter in patients with duplex kidney, ureteroneocystostomy or transureteroureterostomy can be used. Anastomosis of the injured ureter of the upper pole with the pelvis of the lower pole is considered nontypical. In this clinical observation, a 46-year-old patient with iatrogenic trauma of the pelvic part of the upper pole of a duplex kidney successfully undergone laparoscopic ureteropyelostomy. Read More

Beijing Da Xue Xue Bao Yi Xue Ban 2019 Aug;51(4):783-789

Department of Urology, Peking University First Hospital; Institute of Urology, Peking University; National Urological Cancer Center, Beijing 100034, China.

Ureteral injury can be classified as iatrogenic or traumatic, which represents a rare but challenging field of reconstructive urology. Due to their close proximity to vital abdominal and pelvic organs, the ureters are highly susceptible to iatrogenic injury, while ureteral injury caused by external trauma is relatively rare. The signs of ureteric injury are difficult to identify initially and often present after a delay. Read More

Turk J Urol 2018 Sep 6;44(5):399-405. Epub 2018 Mar 6.

Urology and Kidney Transplant, Medanta The Medicity, Gurugram, Haryana, India.

Objective: We present the outcomes of modification of cutaneous ureterostomy by extreme lateralization of the stoma and use of skin flap for formation of ureterostomy.

Material And Methods: Between June 2012 and June 2016, 36 patients had modified cutaneous ureterostomy for ureteral obstruction due to pelvic malignancy or genitourinary tuberculosis. Transureteroureterostomy was made with cutaneous stoma at anterior axillary line between iliac crest and lower rib cage, instead of spinoumbilical line. Read More

Urology 2018 Mar 16;113:200-202. Epub 2017 Nov 16.

Le Bonheur Children's Hospital, Memphis, TN; University of Tennessee Health Science Center, Memphis, TN; St. Jude Children's Research Hospital, Memphis, TN. Electronic address:

A baby boy was diagnosed with embryonal rhabdomyosarcoma causing left hydroureteronephrosis. A loop ureterostomy was performed, and the infant was treated per the RMS13 protocol. After 3 months of chemotherapy, the infant's tumor burden increased, and he underwent radical cystoprostatectomy and right-to-left transureteroureterostomy (end-to-end fashion utilizing the distal limb of his ureterostomy). Read More

Int J Colorectal Dis 2017 Jan 6;32(1):135-138. Epub 2016 Oct 6.

Department of Surgery, Shiga Medical Center for Adults, 5-4-30 Moriyama, Moriyama, Shiga, 524-8524, Japan.

Purpose: Cancerous involvement of a ureter is sometimes encountered in pelvic surgery for malignancy. We usually perform transureteroureterostomy (TUU) in cases of unilateral lower ureteral cancerous involvement. We report the outcomes in patients treated with TUU in our institute. Read More

J Pediatr Urol 2016 Aug 11;12(4):268.e1-7. Epub 2016 Jun 11.

Cohen Children's Medical Center, Hofstra Northwell School of Medicine, New Hyde Park, NY, USA.

Introduction: Aphallia is exceedingly rare (1/30 million births). Previous reports have provided limited detail on associated urinary tract findings.

Objective: We reviewed urinary tract anomalies in two boys with aphallia (patients 1 and 2) and a girl with urinary tract dysplasia, a similar external appearance and lack of corporal tissue (patient 3), also consistent with aphallia. Read More

Female Pelvic Med Reconstr Surg 2016 Sep-Oct;22(5):303-6

From the *Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Keelung, Medical Center, Keelung; †Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei, Medical Center, Taipei; ‡Division of Urogynecology, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan; §Chang Gung University, School of Medicine, Taoyuan; ∥Division of Urogynecology, Department of Obstetrics and Gynaecology, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan, Republic of China; ¶Department of Obstetrics and Gynecology, H. Adam Malik General Hospital, North Sumatra University, Medan, Indonesia; and **Department of Obstetrics and Gynecology, De La Salle University Medical Center, Dasmariñas, Cavite, Philippines.

Introduction: The aim of this case series was to report the clinical relevance and management outcomes of ureteral injuries acquired secondary to cesarean section.

Methods: This was a retrospective case series from January 2007 to September 2014. Description of the patients' characteristics, diagnostic tools for investigation, management, and postoperative follow-up was conducted on postcesarean section patients who developed symptoms of urine leakage after cesarean section and necessitated secondary surgery for ureteral injury. Read More

J Endourol 2015 Nov 21;29(11):1237-41. Epub 2015 Aug 21.

1 Department of Urology, Children's National Medical Center , Washington, District of Columbia.

Purpose: Ureteroureterostomy (UU) is a useful surgical option for the management of duplication anomalies as well as obstructed single system ureters for children. We aimed to evaluate the safety, efficacy, and outcomes of robot-assisted laparoscopic UU (RALUU) compared with open UU (OUU) in the pediatric population.

Patients And Methods: A retrospective review was performed at two institutions including six surgeons' experience with all cases of RALUU and OUU from January 2005 to June 2014. Read More

Urology 2015 Jan 8;85(1):199-204. Epub 2014 Nov 8.

Division of Pediatric Urology, Cohen Children's Medical Center, North Shore-Long Island Jewish Health System, New Hyde Park, NY; Department of Urology, Weill Cornell Medical Center, New York, NY.

Objective: To describe a novel technique of ureteral reimplantation in patients with thick-walled bladders, which addresses the technical challenges and high failure rates seen in this population.

Methods: From 1997 to 2012, 45 megaureters were reimplanted in 26 children aged 2-11 years. Key surgical modifications included ureteral trough creation within the detrusor, formation of a distal ureteral split-cuff nipple, reliance on transureteroureterostomy (TUU) when the bladder would not support the reimplantation of 2 ureters, performance of psoas vesicopexy, and judicious utilization of ureteral stump augmentation in patients undergoing TUU. Read More

BMC Res Notes 2014 Aug 20;7:550. Epub 2014 Aug 20.

Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, No,325, Section 2, Cheng-Kung Road, Taipei 114, Taiwan.

Background: Ureteral stricture is a complication of several etiologies including idiopathic retroperitoneal fibrosis, infection, radiotherapy, instrumentation, and surgical procedures. A variety of techniques have been reported for management. The transureteroureterostomy and bladder flap have been the standard procedures for repairing distal ureteral defects of unilateral ureter. Read More

Ther Adv Urol 2014 Jun;6(3):115-24

Clinical Professor, Michigan State University School of Osteopathic Medicine, Harper Professional Building, Suite 1017, 4160 John R., Detroit, MI 48201, USA.

Iatrogenic injury to the ureter is a potentially devastating complication of modern surgery. The ureters are most often injured in gynecologic, colorectal, and vascular pelvic surgery. There is also potential for considerable ureteral injury during endoscopic procedures for ureteric pathology such as tumor or lithiasis. Read More

J Coll Physicians Surg Pak 2014 Mar;24 Suppl 1:S63-5

Department of Urology, Armed Forces Institute of Urology (AFIU), Rawalpindi.

We present a 60 years old male with transitional cell carcinoma of the left ureter. The right kidney was non excretory while the left one was the solitary functioning kidney with multiple renal cysts. He had presented with significantly deranged renal profile and left obstructed ureter. Read More

J Endourol 2014 Mar 10;28(3):318-24. Epub 2013 Dec 10.

Vattikuti Urology Institute, Henry Ford Health System , Detroit, Michigan.

Background And Purpose: During the last decade, the annual volume of robot-assisted prostatectomies performed in the United States has risen steadily. Refinements in surgical technique, understanding of anatomy, and experience have led to more complex patients being offered surgery for management of organ-confined prostate cancer. Complication rates of robot-assisted prostatectomy have been reported in several articles; however, a paucity of data exists when evaluating ureteral injuries sustained during robot-assisted prostatectomy. Read More

Turk J Urol 2013 Sep;39(3):143-6

Clinic of Urology, İzmir Bozyaka Training and Research Hospital, İzmir, Turkey.

Objective: To discuss the indications and the results of the patients treated with ureterocutaneostomy (UCN) for urinary diversion in our center.

Material And Methods: Between March 2008 and November 2012, 27 patients (19 males and 8 females) were treated with UCN in our clinic. Patients' ages ranged between 56-78 years. Read More

Urol Clin North Am 2013 Aug 18;40(3):351-61. Epub 2013 Jun 18.

Department of Urology, San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, TX 78234, USA.

This article presents a review of the literature regarding surgical techniques and outcomes for reconstruction of strictures involving the upper ureter. The preoperative assessment for proximal ureteral stricture is briefly reviewed, followed by a discussion of ureteroureterostomy, transureteroureterostomy, ureterocalicostomy, bladder flaps, downward nephropexy, bowel interposition grafts, onlay or tubular grafting, renal autotransplantation, and nephrectomy. The future direction for reconstruction of the proximal ureter is proposed. Read More

Urol Ann 2012 May;4(2):102-5

Department of Urology, King Fahad Hospital of the University, University of Dammam, Dammam, Kingdom of Saudi Arabia.

Purpose: The aim of the study was to evaluate the minimal invasive approach and endourological techniques in managing the iatrogenic ureterovaginal fistula. The etiology and the diagnostic tools were also looked at.

Patients And Methods: A retrospective study was conducted on 20 patients with ureterovaginal fistulas. Read More

Actas Urol Esp 2012 Jun 21;36(6):361-6. Epub 2012 Jan 21.

Clínica de Urología, Hospital de Formación Kartal, Estambul, Turquía.

Objective: To evaluate the outcomes of major urological procedures performed in patients with locally advanced colorectal cancer.

Material And Methods: Data of 37 patients with locally advanced colorectal cancer who underwent major urological surgical procedures along with simultaneous cancer surgery between the years of 2005 and 2010 were retrospectively evaluated.

Results: The mean age was 58. Read More

J Surg Oncol 2012 Jul 18;106(1):62-5. Epub 2012 Jan 18.

Department of Urology, The University of Texas, MD Anderson Cancer Center, Houston, TX 77030, USA.

Background: Multi-organ resection in patients with non-urothelial cancer may include segmental ureteral resection. The resulting ureteral defect can be reconstructed with a transureteroureterostomy (TUU); however, whether TUU is safe and effective in this patient group remains unclear.

Objectives: In the current retrospective analysis, we evaluated renal function before and after complex multi-organ resection that included TUU to determine whether TUU is safe and effective. Read More

J Urol 2010 Mar 21;183(3):1055-9. Epub 2010 Jan 21.

Department of Urology, Mayo Medical School and Mayo Clinic, Rochester, Minnesota 55905, USA.

Purpose: Transureteroureterostomy is a treatment alternative for ureteral obstruction when more conventionally reconstructive techniques are not feasible. We report on long-term outcomes of patients treated with transureteroureterostomy.

Materials And Methods: A retrospective chart review of all patients treated with transureteroureterostomy from January of 1985 to February of 2007 was performed. Read More

J Chin Med Assoc 2009 Sep;72(9):495-7

Division of Urology, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, ROC.

Extraskeletal osteoclast-like giant cell (OGC) tumors are uncommon and have mainly been found in the breast and pancreas. OGC neoplasms of the urinary tract are extremely rare, and their histogenesis and biologic behavior remain controversial. Gross hematuria is the most common presenting symptom, as in transitional cell carcinoma. Read More

Eur Urol 2011 May 16;59(5):875-8. Epub 2009 Jun 16.

Department of Urology, Tohoku University School of Medicine, 1-1 Seiryomachi, Aoba-ku, Sendai 980-8575, Japan.

Reconstruction for failed urinary diversion is technically challenging, due to severe tissue adhesion around the anastomotic site. We report successful laparoscopic transureteroureterostomy with cutaneous ureterostomy via a completely extraperitoneal approach to salvage failed ileal conduit in two patients with necrotic ileal conduit and bilateral anastomotic obstruction, respectively. This novel, less invasive approach may offer a viable alternative to open surgical revision for failed ileal conduit urinary diversion. Read More

Indian J Urol 2008 Jul;24(3):376-81

Department of Urology, CSM Medical University, Lucknow, UP, India.

Ureteric stricture is a feared manifestation of genitourinary tuberculosis (TB) with the commonest site being the lower ureter. The purpose of this review is to discuss the management options for this condition. Literature search was done using PubMed and all articles on TB and ureteric stricture were reviewed published between 1990 till September 2007. Read More

Urologiia 2008 Nov-Dec(6):20-4

The article presents the results of lumbar ureteral defect replacement with the intact contralateral ureter left after removal of the kidney. The new surgical technique is used in long ureteral stricture. This defect is corrected by transplantation of the intact ureter of the contralateral removed kidney. Read More

J Pediatr Urol 2007 Dec 16;3(6):433-7. Epub 2007 Aug 16.

Pediatric Urology Unit, Department of Urology, Alexandria University, Raml Station, Alexandria, Egypt.

Objective: Children with valve bladder syndrome represent the worst end of the posterior urethral valve spectrum. When conservative measures fail to control recurrent infections, prevent deterioration of the upper tract (in the form of increasing hydronephrosis and or worsening of kidney function) and improve incontinence, augmentation cystoplasty is considered. In most of these boys, renal insufficiency precludes the use of intestine for augmenting the bladder. Read More

J Pediatr Urol 2008 Feb 25;4(1):14-9. Epub 2007 Oct 25.

Department of Paediatric Urology, Sheffield Children's Hospital, Western Bank, Sheffield S10 2TH, UK.

Background: Ureteric replacement in part or in total is rarely needed in children. We present our experience in using the appendix to replace the ureter.

Methods: A retrospective case note review was carried out at Sheffield Children's Hospital (UK), Ekta Institute of Child Health (Raipur, Chhattisgarh, India) and Christian Medical College Hospital (Vellore, India) of all cases of ureteric substitution using the appendix. Read More

J Surg Oncol 2008 Jul;98(1):49-53

Urologic Oncology Clinic, National Cancer Center, Goyang, Gyonggi, Korea.

Objective: Of the many surgical options available for ureteral reconstruction during surgery for non-urologic pelvic malignancies, the efficacy of transureteroureterostomy (TUU) was investigated.

Methods: Ureteral reconstruction was dichotomized as follows: group 1, end-to-end ureteroureterostomy and ureteroneocystostomy (UNC) with or without a psoas hitch; and group 2, TUU. TUU was preferably performed when partial bladder invasion was suspected or patients had undergone prior surgery or radiotherapy. Read More

Eur J Pediatr Surg 2007 Oct;17(5):370-2

Department of Pediatric Surgery, Mackay Memorial Hospital, Taipei, Taiwan.

Caudal regression syndrome consists of multiple congenital anomalies, mainly caudal segment defects. We describe a preterm baby born to a healthy mother with typical caudal regression picture, including imperforated anus with rectovesical fistula, sacral agenesis, multiple rib and vertebral anomalies, and club feet. Crossed fused renal ectopia with fused ureters resulting in urinary obstruction was managed with transureteroureterostomy and cutaneous vesicostomy. Read More

J Urol 2007 Jun;177(6):2311-4

Department of Surgery, Division of Urology, Alfred I. duPont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19899, USA.

Purpose: We describe the feasibility and short-term results of laparoscopic transureteroureterostomy in children.

Materials And Methods: We performed transperitoneal laparoscopic transureteroureterostomy with a 4-trocar technique in 3 children with a mean age of 63 months (range 18 to 105). Diagnoses were unilateral ureteral obstruction after cross-trigonal reimplantation for vesicoureteral reflux (1 patient), unilateral refluxing megaureter (1) and ureteral injury after bladder diverticulectomy (1). Read More