One wire tubeless ureteral reimplant: preliminary experience and step-by-step technique

ONE WIRE TUBELESS URETERAL REIMPLANTATION: EXPERIÊNCIA PRELIMINAR E TÉCNICA PASSO-A-PASSO

BACKGROUND AND OBJECTIVES:

Ureteral Reimplant is commonly used in pediatric and gyne-cologic surgery. Most techniques demand an experienced surgeon and lasts 2-3 hours. There is no consensus about the preferred technique until today. We report a simple modification of the Taguchi to reduce duration and make it more suitable for laparoscopic approach.

METHOD:

Three patients underwent distal ureteral reimplant, based on our modified Taguchi minimally invasive approach technique. Cystography and ultrasonography were performed on the 30^th, 90^th and 180^th postoperative days to monitor kidneys; a one-year follow-up for recurrence or clinical symptoms was also performed.

RESULTS:

Operative time for ureteral reimplant using our technique was 15-25 minutes. The results of the performed exams on postoperative days showed normal kidneys without hydro-nephrosis. At the one-year follow-up no signs of recurrence or clinical symptoms were present.

CONCLUSION:

Our modifications allowed a faster and easier management of distal ureteral reimplant, with excellent perioperative and post-operative outcomes. To our knowledge this is the first detailed description of this technique through minimally invasive approach. However, further studies and a longer follow up will be necessaries to confirm the long-term outcomes and clinical benefits of our technical proposal.

KEYWORDS:
ureteral reimplantation; laparoscopy; Taguchi procedure