ISSN 2398-2950      

Ureter: anastomosis

ffelis
Contributor(s):

Susan Rackard

Rosa Ragni


Introduction

Ureteric trauma - avulsion at the bladder

  • Avulsed ureters may be reimplanted (see ectopic ureter Ureter: ectopic).
  • Where the distal ureter is traumatized beyond repair it may be appropriate to consider uretero-ureteric anastomosis or the creation of a vesicular conduit by making a pouch from the bladder wall.

Ureteric trauma - other sites

  • Transected ureters may be repaired by end-to-end anastomosis.
  • Alternatives: anastomosis to contralateral ureter, ureteronephrectomy Ureteronephrectomy.

Uses

  • To re-establish urine flow from the kidney into the urinary bladder.

Advantages

  • Preserves renal function.

Disadvantages

  • If ends of ureter cannot be opposed without excessive tension, consider alternatives, eg creation of a vesicular conduit by making a pouch from the bladder wall, anastomosis to contralateral ureter, ureteronephrectomy Ureteronephrectomy.

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

  • Depends on site and extent of injury.
  • Early diagnosis and repair improves prognosis.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Adin C A, Scansen B A (2011) Complications of upper urinary tract surgery in companion animals. Vet Clin North Am Small Anim Pract 41 (5), 869-888 PubMed.
  • Bednarski R, Grimm K, Harvey R et al (2011) AAHA Anesthesia Guidelines for Dogs and Cats. JAAHA 47 (6), 377-385 PubMed.
  • Looney A L, Bohling M W, Bushby P A et al (2008) The Association of Shelter Veterinarians Veterinary Medical Care Guidelines for Spay-Neuter Programs. JAVMA 233 (1), 74-86 PubMed.

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