[Traumatic lesions of the ureter in pelvic surgery. Apropos of 10 cases]. 1979

C Viville

For ureteral lesions without loss of substance our preferences are, at the level of the lesion, either for end-to-end ureteral suture, or antireflux uretero-vesical reimplantation. For ureteral lesions with loss of substance we prefer the psoas bladder, if the bladder is healthy, large and supple, or inter-ureteral anastomosis if the bladder for some reason (radiotherapy, retracted bladder, small "blocked pelvis") is not available. Synthetic ureteral prosthesis may be a rapid and elegant solution in cancer patients with a limited hope of survival. Guided by these principles, we have repaired 10 ureters : 1 by ureterolysis, 2 by end-to-end suture, 3 by inter-ureteral anastomosis, 4 by antireflux uretero-vesico reimplantation. These 10 repairs gave 9 successes. The only failure (end-to-end ureteral suture) was due to our lack of experience, for in a similar case we would now perform an inter-ureteral anastomosis.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010388 Pelvis The space or compartment surrounded by the pelvic girdle (bony pelvis). It is subdivided into the greater pelvis and LESSER PELVIS. The pelvic girdle is formed by the PELVIC BONES and SACRUM. Pelvic Region,Region, Pelvic
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D014513 Ureter One of a pair of thick-walled tubes that transports urine from the KIDNEY PELVIS to the URINARY BLADDER. Ureters

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