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  • Title: Laparoscopic ureteroneocystostomy for distal ureteral injuries.
    Author: Modi P, Goel R, Dodiya S.
    Journal: Urology; 2005 Oct; 66(4):751-3. PubMed ID: 16230130.
    Abstract:
    OBJECTIVES: To present our initial experience with laparoscopic ureteroneocystostomy in patients with traumatic disruption of the distal ureter owing to gynecologic procedures. Reconstructive laparoscopic procedures are still evolving. METHODS: Six patients with ureterovaginal fistula in whom endoscopic management had failed underwent laparoscopic ureteroneocystostomy with a psoas hitch between July 2003 and December 2004. RESULTS: All procedures were completed successfully. No intraoperative or postoperative complications were noted. Postoperative intravenous urography did not reveal any evidence of obstruction. No reflux was seen in 5 of the 6 patients during micturating cystography. CONCLUSIONS: Laparoscopic ureteroneocystostomy is a safe and feasible minimally invasive option for patients with gynecologic distal ureteral injury.
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