Clinical Review of Ureteroneocystostomy

Lee, Kyung Seop; Kim, Kwang Sae; Lee, Sung Choon

Abstract

The art of ureteroneocystostomy represents one of surgery's most successful treatment of a disease process. There are several operative techniques in ureteroneocystostomy and these should be antireflux to preserve renal function. To prevent the reflux, sufficient submucosal length, minimum ureteral manipulation, and adequate buttress making the new orifice near the trigone are stressed. We performed ureteroneocystostomy in 33 patients(46 ureters) in the last 10 years. We evaluate the preoperative causes, operative techniques, postoperative courses and follow up to these cases with review of the articles. The results are as follows . 1. Ureteroneocystostomy was done by Cohen method in 20 ureters, Politano-Leadbetter in 21, Glenn-Anderson in 4, submucosal tunnel with vesico-psoas hitch and Boari flap in 1 ureter. 2. All of twelve ureters(100%) by Cohen were successfully corrected with thirteen successful corrections(81.3%) by Politano-Leadbetter out of sixteen ureters. 3. Postoperative complications were obstruction in 2 ureters. ipsilateral VUR and unimproved renal function in each one ureter.