Eleven Cases of Psoas-Vesico Hitch Procedure for the Replacement of the Lower Ureter

Lee, Eung Sang; Lim, Soo Kil

Abstract

A clinical observation was made on 11 cases of psoas-vesico hitch procedure for the replacement of the lower ureter in Department of Urology, Catholic Medical College, during the period from January 1996 to June 1979. The results were as follow: 1. Patients who underwent psoas-vesico hitch were post-radical hysterectomy in 5 cases, renal tuberculosis in 3 cases, post ureteral lithotomy in 1 case and ureteral non-specific inflammation 1 case. 2. As methods of ureteral reimplantation, antireflux procedure with psoas-vesico hitch in 5 cases, direct anastomosis with psoas-vesico hitch in 2 cases and Boari operation with psoas-vesico hitch in 3. In cases of ureterocutaneous fistula, ureterovaginal fistula and lower ureteral obstruction, the excellent results made by ureteral reimplantation and psoas-hitch procedure were presented. But 1 case of ureterocutaneous fistula of secondary nephrectomy was caused by continuous urineleakage.