Table 2 Results of various reconstructive procedures done for ureteric avulsion following ureteroscopy according to level of avulsion
From: Management of ureteric avulsion during ureteroscopy: a systematic review and our experience
Level of avulsion (n) | Primary reconstructive surgical options | No | Follow-up available, n | Primary salvage success, n (%) | Total success rate after sec interventions, n (%) |
|---|---|---|---|---|---|
Distal and middle third (8) | Ureteroneocystostomy with or without psoas hitch | 5 | 4 | 4(100) | 4(100) |
Boari flap | 1 | 1 | 1(100) | 1(100) | |
Transureteroureterostomy DJS | 1 1 | 1 1 | 1(100) 0(0) | 1(100) 0(0) | |
Proximal (28) | Extended Boari flap | 8 | 5 | 5(100) | 5(100) |
Proximal and distal anastomosis with greater omentum investment | 8 | 7 | 2(33) | 3(50) | |
Endoscopic management | 4 | 4 | 2(50) | 4(100) | |
Bowel interposition -Ileal ureter | 3 | 2 | 3(100) | 3(100) | |
Autotransplantation | 3 | 3 | 3(100) | 3(100) | |
Ureteropyelostomy | 2 | 2 | 1(50) | 2(100) | |
Total | 36 | 30 | 22(73.3) | 26(86.7) |