Ureteral Replacements

Ureteric stricture formation following ureteric instrumentation in patients with a nephrostomy drain in place

“…If a nephrostomy is left on free drainage after ureteric instrumentation then it is unlikely that more than minimal amounts of urine will flow down the ureter particularly as the mucosa is oedematous. Ureteric peristalsis then decreases and, consequently, the endogenous method of preventing stricture formation is lost [6]. In patient 7, of note was British Journal oJ Urology (1994).…”

Replacing the ureter by an ileal tube, using the Yang‐Monti procedure

“…If the ureteric loss cannot be repaired with intrinsic urinary tract tissues, ureteric replacement is indicated. Various surgical techniques have been proposed for replacing damaged ureters, including the use of synthetic material, free autologous or pedicled grafts [1]. Except for pedicled bowel segments, most of these techniques have failed to gain wide acceptance.…”

“…The use of small bowel for ureteric replacement was described as early as 1906 [1]. In 1959, Goodwin et al [2] reported the use of ileal ureter not only for the repair of damaged ureters but also as for recurrent urinary stones.…”