Experiences of the Vesico-Psoas Hitch Procedure for Extensive Lower Ureteral Stricture.
- Author:
Kyu Wook PARK
1
;
Jong Byung YOON
Author Information
1. Department of Urology, College of Medicine, Busan National University, Busan, Korea.
- Publication Type:Original Article
- Keywords:
vesico-psoas hitch;
ureteral stricture
- MeSH:
Constriction, Pathologic*;
Humans;
Psoas Muscles;
Ureter*;
Urinary Bladder
- From:Korean Journal of Urology
1983;24(1):35-39
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Three patients have successfully undergone ureteroneoystostomy with submucosal tunneling as an antirefluxing measure using vesico-psoas hitch procedure for extensive postoperative stricture of the lower ureter. Postoperatively, none of the patients has developed ureterovesical stenosis, and functional capacity of the bladder has been well preserved despite of extensive mobilization. In one patient reflux has occurred through the ureteral orifice of the opposite side. Since the technique of vesico-psoas hitch procedure is simply to mobilize the bladder and to fix its posterolateral corner to the psoas muscle, we believe that it provides a safer alternative to more complicated and potentially dangerous procedures.
