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Version August 2025
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Surgical repair of iatrogenic ureteral injuries
Surgical repair of iatrogenic ureteral injuries
Ureteroureterostomy –
Primary anastomosis of the spatulated ureteral ends.
Ureteroneocystostomy –
Ureteral implantation to the bladder.
Ureterocalicostomy –
Ureteral implantation to the lower pole of kidney.
Psoas hitch –
Ureteral implantation to the side of the bladder mobilized and anchored to the psoas tendon.
Boari flap –
Ureteral implantation to a tubularized flap of the anterior bladder wall.
Transureteroureterostomy –
Ureteral anastomosis to the side of the contralateral ureter.
Renal autotransplantation –
Moving the kidney and injured ureter down to the iliac fossa and implant the ureter to the bladder.
Ureteral substitution –
Use an intestinal conduit (ileum or appendix) as a graft to substitute for the missing ureter.
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