Change of Ureteral Submucosal Anti-reflux Implantation into an Intussuscepted Ileal Nipple Valve as Reflux Protection in Ureterosigmoidostomy

Urology. 2008 Jul;72(1):192-195, Jesco Pfitzenmaier, Christian Gilfrich, Axel Haferkamp, Stephan Buse, Markus Hohenfellner

ABSTRACT

ObjectivesAfter submucosal implantation of the ureters in ureterosigmoidostomy failed for different reasons, urologists are confronted with the task of creating a new form of urinary diversion. Therefore, the implantation site of the ureters must be removed because of the risk of secondary malignancy with the consequences of a large colonic defect.Technical ConsiderationsHere we describe a technique for reimplantation of both ureters with an intussuscepted ileal nipple in ureterosigmoidostomy with...

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