Überbrückung pelviner Harnleiterdefekte durch Hörnerblase

Abstract

The authors report on indications, operative technic and clinical experience with the so-called horned bladder (horn-like extrusion) with simultaneous re-implantation and submucosal placement of the ureter. In 6 years the procedure was successfully employed in 35 patients. As compared to the Boari flap-method, it is simple, the anastomosis is without tension, and there is lessened danger of reflux because of the submucous tunnelling of the ureteral end.

Reconstruction of the Ureter

“…P = 426 0=0.8 (30,40,68). Our modified procedure of'horn-shaped blad der' (17, 77) makes it possible to replace the whole lower ureter up to the level of the 4th lumbar vertebral body (50,52,55,75) (fig. 8).…”