What is Ureteroneocystostomy?
Ureteroneocystostomy (UNC) refers to reimplantation of the ureter into the bladder. In the adult population, ureteroneocystostomy is primarily used for disease or trauma involving the lower third portion of the ureter that results in obstruction or fistula.
How do you reimplant a ureter?
Description
- Detach the ureter from the bladder.
- Create a new tunnel between the bladder wall and muscle in a better position in the bladder.
- Place the ureter in the new tunnel.
- Stitch the ureter in place and close the bladder with stitches.
- If needed, this will be done to the other ureter.
What is bladder hitch procedure?
The psoas (bladder) hitch technique is an almost universal approach for ureteric reimplantation whatever the problem of the distal ureter. If this technique is not possible, an additional Boari flap may be useful. At the end of the nineteenth century, Boari described a bladder flap substitution of the distal ureter 7.
What is ileal ureter?
Ileal ureter interpositions are uncommon urologic reconstructions, using a loop of small bowel to replace a damaged ureter. The concept is similar to the formation of a neobladder from small bowel (e.g. ileal conduit), except one is forming a neo-ureter.
How do you fix a kinked ureter?
Endoscopic surgery. The surgeon makes a cut into the damaged or blocked part of the ureter to widen the area and then places a hollow tube (stent) in the ureter to keep it open. This procedure may be done to both diagnose and treat a condition.
What does Reimplant mean?
to restore or replace
Definition of reimplant transitive verb. 1 medical : to restore or replace (something, such as a bodily tissue or part) after loss or removal : to implant (something) back into the body Avulsion, or complete displacement of a tooth out of its socket, requires rinsing the tooth and reimplanting it into the socket.—
Do ureteral stents hurt?
Stents can cause discomfort and pain in the bladder, kidneys, groin, urethra and the genitals. The discomfort or pain may be more noticeable after physical activity and passing urine. Taking regular painkillers, such as paracetamol, should ease the discomfort.
How to treat psoas muscle pain?
The doctors recommended some of the following techniques to improve the symptoms of psoas muscle pain: Stretching the psoas muscle to relieve pain and tightness. Various stretches like lunge stretches help to exercise and stretch the muscles in your groin and pelvic area.
What is the psoas hitch used for in urography?
With the psoas hitch, the bladder is pulled up and secured to the psoas muscle, to reduce the distance between the distal ureter and the bladder so a ureteroneocystotomy can be performed. 1. Pollack HM, McClennan BL, Dyer RB et-al. Clinical urography.
What are the symptoms of peripheral psoas syndrome?
Psoas syndrome can cause a variety of symptoms, including: Many of these symptoms can mimic other, more serious conditions. Hip arthritis, kidney stones (ureteral calculi), hernias, femoral bursitis, prostatitis, salpingitis, colon cancer and colon diverticulitis can also cause severe back pain.