Total proximal ureter substitution using buccal mucosa
The surgical treatment of a long proximal ureteral stricture is a challenging situation for reconstructive surgeons. Despite the underlying morbidities, ileal interposition and autotransplantation are the options available to treat complex cases of long segment ureteral stricture. Buccal mucosa has...
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| Veröffentlicht in: | International journal of urology 2017-04, Vol.24 (4), p.320-323 |
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| container_title | International journal of urology |
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| creator | Fahmy, Omar Schubert, Tina Khairul‐Asri, Mohd Ghani Stenzl, Arnulf Gakis, Georgios |
| description | The surgical treatment of a long proximal ureteral stricture is a challenging situation for reconstructive surgeons. Despite the underlying morbidities, ileal interposition and autotransplantation are the options available to treat complex cases of long segment ureteral stricture. Buccal mucosa has shown excellent results in urethroplasty. However, its use in ureteral reconstruction is infrequent. We report on a 64‐year‐old female patient with multiple comorbidities and prior abdominal surgeries for Crohn's disease who underwent a successful total substitution of a long segment of the proximal ureter using buccal mucosa. Regular postoperative isotope scans showed improvement in renal function. Based on the pleasant outcome of this case and review of the literature, buccal mucosa might be a viable option with low morbidity in selected cases. |
| doi_str_mv | 10.1111/iju.13307 |
| format | Article |
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Despite the underlying morbidities, ileal interposition and autotransplantation are the options available to treat complex cases of long segment ureteral stricture. Buccal mucosa has shown excellent results in urethroplasty. However, its use in ureteral reconstruction is infrequent. We report on a 64‐year‐old female patient with multiple comorbidities and prior abdominal surgeries for Crohn's disease who underwent a successful total substitution of a long segment of the proximal ureter using buccal mucosa. Regular postoperative isotope scans showed improvement in renal function. 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Despite the underlying morbidities, ileal interposition and autotransplantation are the options available to treat complex cases of long segment ureteral stricture. Buccal mucosa has shown excellent results in urethroplasty. However, its use in ureteral reconstruction is infrequent. We report on a 64‐year‐old female patient with multiple comorbidities and prior abdominal surgeries for Crohn's disease who underwent a successful total substitution of a long segment of the proximal ureter using buccal mucosa. Regular postoperative isotope scans showed improvement in renal function. Based on the pleasant outcome of this case and review of the literature, buccal mucosa might be a viable option with low morbidity in selected cases.</description><subject>autotransplantation</subject><subject>Buccal mucosa</subject><subject>Constriction, Pathologic - diagnosis</subject><subject>Constriction, Pathologic - surgery</subject><subject>Crohn's disease</subject><subject>Female</subject><subject>Humans</subject><subject>ileal ureter</subject><subject>Literature reviews</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Mouth Mucosa - transplantation</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Renal function</subject><subject>Stricture</subject><subject>Treatment Outcome</subject><subject>Ureter</subject><subject>Ureter - pathology</subject><subject>Ureter - transplantation</subject><subject>Ureteral Obstruction - diagnostic imaging</subject><subject>Ureteral Obstruction - surgery</subject><subject>ureteral stricture</subject><subject>ureteral substitution</subject><subject>Urography</subject><subject>Urologic Surgical Procedures - methods</subject><issn>0919-8172</issn><issn>1442-2042</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMtKAzEUhoMotlYXvoAU3Ohi2pxkJpelFK8U3LTrkMlkZMpcajJB-_ZGp7oQBP_NOYuPn3M-hM4BzyBmXm3CDCjF_ACNIU1JQnBKDtEYS5CJAE5G6MT7DcZACYhjNCKCYEGAjxFbdb2up1vXvVdNXIKzvXVTH3LfV33oq66dBl-1L9M8GBOBJpjO61N0VOra27P9nKD13e1q8ZAsn-8fFzfLxKRpxhPLNM2ZMcAMgNTUcpCUSKtLq60utOQirqKksixLllrBmMgzXJCM5wXThk7Q1dAbD3wN1veqqbyxda1b2wWvQEgQDFOW_QNlUjLBOI7o5S900wXXxkcUyOhO8JhIXQ-UcZ33zpZq66Ijt1OA1ad3Fb2rL--Rvdg3hryxxQ_5LToC8wF4q2q7-7tJPT6th8oP-quL2w</recordid><startdate>201704</startdate><enddate>201704</enddate><creator>Fahmy, Omar</creator><creator>Schubert, Tina</creator><creator>Khairul‐Asri, Mohd Ghani</creator><creator>Stenzl, Arnulf</creator><creator>Gakis, Georgios</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>201704</creationdate><title>Total proximal ureter substitution using buccal mucosa</title><author>Fahmy, Omar ; 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Despite the underlying morbidities, ileal interposition and autotransplantation are the options available to treat complex cases of long segment ureteral stricture. Buccal mucosa has shown excellent results in urethroplasty. However, its use in ureteral reconstruction is infrequent. We report on a 64‐year‐old female patient with multiple comorbidities and prior abdominal surgeries for Crohn's disease who underwent a successful total substitution of a long segment of the proximal ureter using buccal mucosa. Regular postoperative isotope scans showed improvement in renal function. Based on the pleasant outcome of this case and review of the literature, buccal mucosa might be a viable option with low morbidity in selected cases.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28208217</pmid><doi>10.1111/iju.13307</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | autotransplantation Buccal mucosa Constriction, Pathologic - diagnosis Constriction, Pathologic - surgery Crohn's disease Female Humans ileal ureter Literature reviews Middle Aged Morbidity Mouth Mucosa - transplantation Reconstructive Surgical Procedures - methods Renal function Stricture Treatment Outcome Ureter Ureter - pathology Ureter - transplantation Ureteral Obstruction - diagnostic imaging Ureteral Obstruction - surgery ureteral stricture ureteral substitution Urography Urologic Surgical Procedures - methods |
| title | Total proximal ureter substitution using buccal mucosa |
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