Rekonstrukční operace po iatrogenním poškození močovodu – příklady méně obvyklých avšak úspěšných řešení

Reconstruction Surgical Procedures for Iatrogenic Injuries to the Urether. Examples of Uncommon, However Successful Approaches to their Management

The authors present several less usual reconstructions of ureters after the primary iatrogenic lesions. The appropriate ureteric capacity to drain the urine after previous injury is quite demanding and hence before the definitive decision is made the wholesome health status of the patient is to be considered and all possible solutions should be weighted. The efficient primary urinary diversion above the lesion is unavoidable. The genuine reconstruction could be deferred by several weeks or months in the view that in some cases the least invasive (endourologic) methods can completely avoid the need of open surgery in difficult adhesions after previous major surgery.

Key words:
ureter – reconstruction – urinary diversion