Urology 2010 Oct 14;76(4):1004-6. Epub 2010 Aug 14.
Department of Urology, Chhatrapati Shahuji Maharaj, Medical University (Upgraded King George's Medical College), Uttar Pradesh, India.
Objectives: To share our experience with nondismembered ureteroplasty (NDU), a novel application of an old technique in congenital midureteral stenosis (CMS).
Methods: A 35-year-old man was diagnosed as a case of CMS, a rare benign condition on the basis of extensive evaluation, including ultrasonography, intravenous urography, ethylenedicystine renal scan, antegrade and retrograde contrast study of the left kidney and ureter, and a 64-slice computed tomographic angiography of the abdomen with 3-dimensional reconstruction. He was managed by open NDU, where a longitudinal incision over the narrowed segment was closed transversely using the Heineke-Mikulicz principle, thereby preserving the midureteral blood supply, which is considered tenuous. Read More