Autotransplantation of kidney (1212. Lutter I, Molcan T, Pechan J, Daniel J, Wagenhoffer R, Weibl P. Renal autotransplantation in irreversible ureteral injury. Bratisl Lek Listy. 2002;103:437-9.) |
Priority selection for isolated kidney, renal insufficiency and complete ureteral avulsion |
The operation was difficulty, and patients and their families is difficult to accept |
Ureterovesical anastomosis, ureterocalicostomy and Ureteral-ureteral end-end anastomosis (99. Ge C, Li Q, Wang L, Jin F, Li Y, Wan J, et al. Management of complete ureteral avulsion and literature review: a report on four cases. J Endourol. 2011;25:323-6., 1313. Ben Slama MR, Zaafrani R, Ben Mouelli S, Derouich A, Chebil M, Ayed M. Ureterocalicostomy: last resort in the treatment of certain forms of ureteropelvic junction stenosis. Report of 5 cases. Prog Urol. 2005;15:646-9.) |
The operation was simple, less trauma |
Anastomosis stenosis or leakage, and not suitable for complete ureteral avulsion |
Replacement of the ureter with the ileum (1414. Tanagho EA. A case against incorporation of bowel segments into the closed urinary system. J Urol. 1975;113:796-802., 1515. Bazeed MA, El-Rakhawy M, Ashamallah A, El-Kappany H, El-Hammady S. Ileal replacement of the bilharzial ureter: is it worthwhile? J Urol. 1983;130:245-8.) |
High success rate |
Obstruction, delayed formation of mucus, stones, recurrent infection, ischemic necrosis of intestine, electrolyte disorder and preoperative bowel preparation |
Extended spiral bladder flap treatment of upper ureteral loss (1111. Chang SS, Koch MO. The use of an extended spiral bladder flap for treatment of upper ureteral loss. J Urol. 1996;156:1981-3.) |
The recovery of renal function was good, less complications |
Repair ureter injury length is limited |
Pyeloureterostomy plus greater omentum investment outside the avulsed ureter and ureterovesical anastomosis (88. Gao P, Zhu J, Zhou Y, Shan Y. Full-length ureteral avulsion caused by ureteroscopy: report of one case cured by pyeloureterostomy, greater omentum investment, and ureterovesical anastomosis. Urolithiasis. 2013;41:183-6.) |
The renal function recovered well, especially suitable for full-length ureteral avulsion |
The operation was difficulty, fibrosis tissue was forming outside ureter and anastomotic atresia of ureter-bladder |
Nephrectomy (77. Al-Awadi K, Kehinde EO, Al-Hunayan A, Al-Khayat A. Iatrogenic ureteric injuries: incidence, aetiological factors and the effect of early management on subsequent outcome. Int Urol Nephrol. 2005;37:235-41.) |
The operation was easily |
Patients and their families are difficult to accept |