Abstract:
Objective To report the short term follow-up results of 3 cases of S-type bladder flap reconstruction of ureter in emergency treatment of long segment ureter disconnection.
Method A retrospective analysis was made of 3 cases of long segment ureter disconnection during ureteroscopic operation. S-type bladder flap was used to reconstruct the ureter. Postoperative results and complications, summarize and share the treatment experience were recorded.
Result All of the 3 patients were male, with upper ureteral calculi, 2 on the left side and 1 on the right side. One of long segment ureter disconnection was 16 cm, one was 22 cm, and one was 26 cm. The S-type bladder flap was used to reconstruct the ureter for emergency treatment. Only one case had leakage of urine, which disappeared after 3 weeks. Three cases had no stenosis and hydronephrosis after 6 months of operation. Three cases had the symptoms of decreased bladder volume, which was manifested as frequent urination, and the number of normal urination was restored after half a year.
Conclusion The short-term follow-up results of S-type bladder flap reconstruction of ureter in emergency treatment of long segment ureter disconnection is good, with fewer complications, which helps to reduce doctor-patient disputes, but the long-term effect still needs further follow-up.
Key words:
S-shaped bladder flap,
Ureteral reconstruction,
Ureteral injury
Fuxiang Lin, Zhanping Xu. Short-term follow-up results of S-type bladder flap reconstruction of ureter in emergency treatment of long segment ureter disconnection: 3 cases report[J]. Chinese Journal of Endourology(Electronic Edition), 2021, 15(02): 148-150.