Canis ISSN: 2398-2942

Transection and reimplantation: ureter

Synonym(s): Vesicoureteric reimplantationUreteral transplantation

Contributor(s): Lori Ludwig, Dick White

Introduction

Uses

  • Urethral stricture or ureterolithiasis in distal 1/3 or ureter.
  • Ectopic ureter Ureter: ectopic :
    • a) Vesicoureteric reimplantation.
    • b) Intravesicular repair.
  • Traumatic avulsion of ureter Ureter: trauma (at level of bladder).

Disadvantages

  • Surgery results in post-operative hydroureter and hydronephrosis.
  • Obstruction of the ureter at the site of implantation may occur.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Incontinence may continue.
  • Some resolve after next estrus.
  • Concurrent urethral sphincter mechanism incompetence (USMI) - may require treatment with phenylpropanolamine Phenylpropanolamine / diphenylpyraline or colposuspension.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Gregory C R, Lirtzman R A, Kochin E J et al (1996) A mucosal apposition technique for ureteroneocystostomy after renal transplantation in cats. Vet Surg 25 (1), 13-17 PubMed.
  • Lane I F, Lappin M R & Seim H B 3rd (1995) Evaluation of results of pre-operative urodynamic measurements in nine dogs with ectopic ureters. JAVMA 206 (9), 1348-1357 PubMed.
  • McLaughlin R Jr. & Miller C W (1991) Urinary incontinence after surgical repair of ureteral ectopia in dogs. Vet Surg 20 (2), 100-103 PubMed.
  • Mason L K, Stone E A, Biery D N et al (1990) Surgery of ectopic ureters - pre- and post-operative radiographic morphology. JAAHA 26 (1), 73-79 CAB Direct.
  • Stone E A & Mason L K (1990) Surgery of ectopic ureters - types, method of correction and post-operative results. JAAHA 26 (1), 81-88 CAB Direct.


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