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Simplified Politano-Leadbetter's ureteral reimplantation associated with psoas-hitch technique using a new clamp

By Salvatore Siracusano, Giovanni Liguori, Gianluca D'Aloia, Carlo Trombetta and Emanuele Belgrano


We developed a simplified Politano-Leadbetter ureteral reimplantation associated with the psoas-hitch\ud technique in 10 female patients, aged between 22 and 80 years, who were affected by pelvic ureteral\ud pathology. After the standard ureteral mobilization through an intravesical and extravesical approach, the\ud ureter was brought through the new hiatus and through the new submucosal tunnel to the new meatus in just\ud one step using a new right-angled clamp in which the grasp is effective only in the last 0.5-cm part of the tip.\ud The follow-up ranged from 1 to 3 years and did not reveal any postoperative complications. This technique\ud avoids the damage to the submucosal tunnel and reduces the operating time of ureteral\ud reimplantation

Topics: Urology, ureteral reimplantation, clamp
Year: 2002
DOI identifier: 10.1016/S0090-4295(02)01513-3
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