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Organo Oficial de la Sociedad Mexicana de Urología

2009, Number 5

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Rev Mex Urol 2009; 69 (5)

Ureteral Reimplant: Experience over a 15-year period at the Hospital General de México

Soria-Fernández GR, Lira-Dale A, Carral-Valdez RA, Almanza-González MS, Rosas-Nava JE

Language: Spanish
References: 20
Page: 211-214
PDF size: 2111.03 Kb.


ABSTRACT

Ureteral reimplant is a routine procedure in urology services as well as in pediatric surgery.
Objective: To evaluate results of this procedure carried out over a period of 15 years at the Hospital General de México.
Materials and methods: A retrospective study of case records from the Hospital General de México of patients who underwent ureteral reimplant between July 1992 and July 2007 was carried out. A total of 142 cases were reviewed. Of those cases 22 were men and 120 were women.
Results: Eighty-four patients had lesion on the left side, 51 on the right side and 7 patients had bilateral lesions. In 102 patients the procedure was secondary to gynecological complications, in 18 patients it was secondary to ureteral lesion from urologic endoscopic procedure and in 12 it was secondary to genitourinary tuberculosis. In 6 patients reimplant was due to reflux disease and in 3 it was due to injury to the ureter with a firearm.
Discussion: Politano-Leadbetter is a technique that has grown in popularity over the last 3 decades and it was the procedure of choice. The results of the present study had a success rate of 89.4% which was comparable to that of a study with a 30-year follow-up protocol that had a success rate of 92.3%.


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