A new reconstructive technique for select patients with long upper ureteral obliteration

DISCUSSION The surgical options for upper ureteral reconstruction are limited and include end-to-end anastomosis [1, 2], augmented anastomotic urethroplasty using a pelvic flap [3], ureterocalycostomy [4], autotransplantation, y-v plasty and in some cases may be managed by ileal interposition [1, 2, 5], or with nephrectomy [6]. The standard ureterocalycostomy procedure can lead to complications such as persistent leakage, sepsis, recurrent stricture, hypertension and loss of renal function [7, 8]. The technique described here may be used in select cases of long upper ureteral strictures and may provide an additional safe repair option avoiding the need to resort to 'end of the line' options such as ileal interposition, auto-transplant or nephrectomy.