The bladder-flap ureteral augmentation: An original solution in case of complex distal stricture

Alessandro Antonelli; Nicolò Trabacchin; Carmelo Monaco; Alessandro Tafuri; Maria Angela Cerruto; Fabrizio Dal Moro

doi:10.1016/j.eucr.2021.101636

The bladder-flap ureteral augmentation: An original solution in case of complex distal stricture

Urol Case Rep. 2021 Mar 10:37:101636. doi: 10.1016/j.eucr.2021.101636. eCollection 2021 Jul.

Authors

Alessandro Antonelli¹, Nicolò Trabacchin¹, Carmelo Monaco¹, Alessandro Tafuri¹, Maria Angela Cerruto¹, Fabrizio Dal Moro²

Affiliations

¹ Urology Clinic, Department of Surgery and Oncology, University of Verona, AOUI Verona, Piazzale Stefani n° 1, 37126, Verona, Italy.
² Urology Clinic, Department of Surgical Oncological and Gastroenterological Sciences, University of Padua, Via Nicolò Giustiniani n°2, 35126, Padua, Italy.

Abstract

An original surgical solution for complex stenosis of the distal ureter is presented. A young, single-kidney male patient developed a stricture of the pelvic ureter after ureteroscopy and laser lithotripsy. Surgical repair was planned after the failure of conservative management. The ureter was sectioned prevesically and spatulated; a bladder flap with the same dimensions of the ureteral plate was taken from the anterior wall, and used to augment the ureter; finally an omental flap was wrapped around the reconstructed tract. Further radiological and ureteroscopic controls showed a largely patent reconstructed ureter, and follow up proved a regularly maintained kidney function.

Keywords: Bladder-flap; Innovative surgical technique; Ureteral augmentation; Ureteral stricture management.

Publication types

Case Reports