Non-transecting anastomotic ureteroplasty
- Authors: Mamaev I.E.1,2, Dolomanov K.A.2, Kotov S.V.1
-
Affiliations:
- Pirogov Russian National Research Medical University, Ministry of Healthcare of Russia
- GBUZ “Moscow City Clinical Hospital named after V.M. Buyanov”
- Issue: No 2 (2025)
- Pages: 73-77
- Section: Clinical case
- URL: https://journal-vniispk.ru/1728-2985/article/view/314247
- DOI: https://doi.org/10.18565/urology.2025.2.73-77
- ID: 314247
Cite item
Open Access
Access granted
Subscription Access
Abstract
Ureteral stricture is a significant issue which requires surgical reconstruction in most cases. The main determining factors for the reconstruction type are the length and location of the stricture. The individual steps for each procedure are significantly different, thus the scenario is predetermined regardless of intraoperative data. Preoperative assessment of the stricture length is based on X-ray data. However, it is not always correct and surgeon may encounter a situation where the planned reconstruction turns out to be suboptimal.
This clinical case demonstrates intraoperative conversion from planned augmentation to end-to-end anastomosis after longitudinal incision of the ureter and visual assessment of the stricture length.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
Ibragim E. Mamaev
Pirogov Russian National Research Medical University, Ministry of Healthcare of Russia; GBUZ “Moscow City Clinical Hospital named after V.M. Buyanov”
Author for correspondence.
Email: dr.mamaev@mail.ru
ORCID iD: 0000-0002-5755-5950
Ph.D., Head of the Department of urology, Assistant professor of the Department of Urology
Russian Federation, Moscow; Moscow
Kirill A. Dolomanov
GBUZ “Moscow City Clinical Hospital named after V.M. Buyanov”
Email: dolomanovkirill@gmail.com
ORCID iD: 0000-0001-7957-6421
urologist at the urology department
Russian Federation, 115560, Moscow, Bakinskaya st., 26Sergey V. Kotov
Pirogov Russian National Research Medical University, Ministry of Healthcare of Russia
Email: urokotov@yandex.ru
ORCID iD: 0000-0003-3764-6131
Ph.D., MD, professor, Head of the Department of Urology and Andrology
Russian Federation, 117997, Moscow, st. Ostrovityanova, 1References
- Tyritzis S.I., Wiklund N.P. Ureteral strictures revisited… trying to see the light at the end of the tunnel: a comprehensive review. J Endourol. 2015;29:124–36.
- Buffi N.M., Lughezzani G., Hurle R. et al. Robot-assisted Surgery for Benign Ureteral Strictures: Experience and Outcomes from Four Tertiary Care Institutions. Eur Urol 2017;71:945–51.
- Zhu W., Zhu Z., Li Z., Li X., Zhang J., Xu Y., Wang X., Zhang P., Huang B., Huang C., Zhang D., Zhu H., Li X., Lin J., Zhou L. A ureteral stricture disease score and classification system: correlation with upper urinary tract reconstructive surgery complexity. Transl Androl Urol. 2021;10(10):3745–3755. doi: 10.21037/tau-21-575. PMID: 34804818; PMCID: PMC8575562.
- He B., Bremner A., Han Y. Classification of ureteral stenosis and associated strategy for treatment after kidney transplant. Exp Clin Transplant. 2013;11(2):122–27. doi: 10.6002/ect.2012.0179. Epub 2013 Feb 21. PMID: 23428202.
- Trapeznikova M.F., Bazaev V.V., Shibaev A.N., Luk’ianchikov A.G., Vinogradov A.V. Replacement plastic reconstruction of extended ureteral stricture using buccal mucosa autograft. Urologiia. 2014;(2):16–19. Russian. PMID: 24956665.
- Volkov A.A., Zuban’ O.N., Budnik N.V., Sayenko G.I. Khirurgicheskoye lecheniye protyazhennykh striktur i obliteratsiy mochetochnika s ispol’zovaniyem grafta slizistoy rotovoy polosti – sobstvennyy opyt. Eksperimental’naya i klinicheskaya urologiya 2020;(3):124-131. https://doi.org/10.29188/2222-8543-2020-12-3-124-131
- Kotov S.V., Guspanov R.I., Yusufov A.G., Gaina O.V., Aprosimov A.L., Lapin I.V., Zobnin M.M., Larionova N.O., Trykina N.V., Luskatova T.Yu., Bogdanova O.V. Optimal intestinal graft selection for reconstruction of extended ureteral stricture: an animal model study. Urology Herald. 2024;12(1):45–59. (In Russ.) https://doi.org/10.21886/2308-6424-2024-12-1-45-59
- Zhang T.R., Mishra K., Blasdel G., Alford A., Stifelman M., Eun D., Zhao L.C. Preoperative stricture length measurement does not predict postoperative outcomes in robotic ureteral reconstructive surgery. World J Urol. 2023;41(9):2549–2554. doi: 10.1007/s00345-023-04525-6. Epub 2023 Jul 24. PMID: 37486404.
- Liang C., Wang J., Hai B., Xu Y., Zeng J., Chai S., Chen J., Zhang H., Gao X., Cheng G., Yang X., Hou T., Li W., Xiao X., Li B. Lingual Mucosal Graft Ureteroplasty for Long Proximal Ureteral Stricture: 6 Years of Experience with 41 Cases. Eur Urol. 2022;82(2):193–200. doi: 10.1016/j.eururo.2022.05.006. Epub 2022 May 23. PMID: 35618522.
- Kotov S.V. Non-transecting anastomotic urethroplasty (surgical atlas). Andrology and Genital Surgery. 2015;16(3):49–52. (In Russ.) https://doi.org/10.17650/2070-9781-2015-16-3-49-52
- Andrich D.E., Mundy A.R. Non-transecting anastomotic bulbar urethroplasty: a preliminary report. BJU Int. 2012;109(7):1090–94. doi: 10.1111/j.1464-410X.2011.10508.x. Epub 2011 Sep 20. PMID: 21933325.
Supplementary files
