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

Ureteral reconstructions pose a challenge for urologists. We describe a novel reconstructive technique for long upper ureteral obliteration with an intrarenal pelvis. The obliterated ureteral segment was excised and the healthy segment of the ureter was spatulated and anastomosed end-to-side to the intrarenal lower calyx (ureterocalycostomy). The procedure was successfully performed without any complication. To date, the patient's clinical state, renal function and radiographic imaging are stable without any evidence of deterioration. The described technique is a useful surgical option for select patients with long upper ureteral obliteration and intrarenal pelvis.