1980 Volume 71 Issue 7 Pages 732-740
Six cases of extensive ureteral disorders were corrected by the renal autotransplantation technique. They were ureteral obstructions caused by retroperitoneal fibrosis (2 cases), localized amyloidosis (1 case) and postoperative stricures (3 cases). After surgery, hydronephrosis disappeared or improved and urinary tract infection disappeared in all six cases.
Renal autotransplantation is an excellent procedure to correct ureteral disorders and to preserve renal function. Advantages of using renal autotransplantation technique are (1) direct restoration of pelvo-uretero-vesical continuity by pelvoureterostomy, by uretero-ureterostomy or by ureterneocystostomy is possible. (2) these procedures can be performed in fresh operative fields. (3) any lesion of any length and/or location can be corrected.
Indication of renal autotransplantation as a reconstructive operation of upper urinary dranage system and its operative details is also discussed.
