Medical & Surgical Urology
Open Access
ISSN: 2168-9857
+44-20-4587-4809
ISSN: 2168-9857
+44-20-4587-4809
Richard A Santucci
Specialist-in-Chief, Urology, Detroit Medical Center, Clinical Professor, Michigan State College of Medicine, Harper Professional Bldg,
Ste 1017, 4160 John R, Detroit, MI 48201
Tanzania
Case Report
U-shaped Bilateral Ileal Ureter Substitution for Failed Conservative Management of Retroperitoneal Fibrosis: A Case Report
Author(s): Mang L Chen, Adam W Ylitalo and Richard A SantucciMang L Chen, Adam W Ylitalo and Richard A Santucci
Introduction: Retroperitoneal fibrosis (RPF) can cause bilateral chronic obstruction of the ureters. Definitive surgical management includes ureterolysis with omental wrapping or ileal ureter substitution. We present a case of bilateral ureteral obstruction from RPF in a patient with a large abdominal aortic aneurysm (AAA) managed with bilateral ileal ureter substitution in the U-configuration.
Case presentation: A 65-year-old man had medically refractory RPF with bilateral ureteral obstruction that failed ureteral stenting. He required bilateral nephrostomy tubes. Initially bilateral ureterolysis was considered, but given his large AAA and the proximity of the ureters to the aneurysm, ileal substitution was recommended. We attempted a “7” shaped configuration at first, but the natural lie of the ileal segment led us to perform a.. View More»
DOI:
10.4172/2168-9857.1000116